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Minnesota rates for HCPCS J3305

Injection, trimetrexate glucuronate, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.55 / $176.55 / $176.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.24 / $146.54 / $176.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.38 / $229.65 / $401.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.66 / $159.57 / $159.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.36 / $494.50 / $602.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.80 / $182.16 / $197.17
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.86 / $451.26 / $566.35
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.25 / $155.25 / $211.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.81 / $196.93 / $298.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $188.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $246.24