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Nebraska rates for HCPCS J3305

Injection, trimetrexate glucuronate, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.24 / $339.35 / $390.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.24 / $141.24 / $237.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.12 / $169.49 / $169.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.02 / $167.80 / $169.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.25 / $155.25 / $194.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.55 / $176.55 / $268.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $176.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.59 / $186.59 / $267.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.59 / $267.12 / $267.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.96 / $136.80 / $150.47