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Oklahoma rates for HCPCS J3305

Injection, trimetrexate glucuronate, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.01 / $143.01 / $284.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.01 / $143.01 / $143.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.80 / $150.16 / $176.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $136.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $136.80