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Oregon rates for HCPCS J3305

Inj Trimetrexate Glucoronate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.55 / $176.55 / $353.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.54 / $146.54 / $176.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.54 / $209.55 / $315.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.14 / $13,910.16 / $18,772.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.71 / $149.71 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.54 / $209.55 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $157.32