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New Hampshire rates for HCPCS J3305

Inj Trimetrexate Glucoronate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.07 / $150.07 / $184.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.07 / $150.07 / $150.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.71 / $149.71 / $149.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $136.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.07 / $165.08 / $210.10