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North Dakota rates for HCPCS J3305

Inj Trimetrexate Glucoronate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.24 / $141.24 / $317.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.24 / $176.55 / $176.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.25 / $155.25 / $194.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.24 / $176.55 / $240.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $148.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.28 / $136.80 / $150.47