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Michigan rates for HCPCS J3305

Injection, trimetrexate glucuronate, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.24 / $141.24 / $440.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.24 / $141.24 / $141.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.13 / $267.70 / $506.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.19 / $158.19 / $158.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.24 / $247.17 / $440.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.24 / $146.77 / $176.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $139.55