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Pennsylvania rates for HCPCS J3305

Inj Trimetrexate Glucoronate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.07 / $240.11 / $372.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.07 / $150.07 / $150.07
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.56 / $146.54 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.54 / $146.54 / $146.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.07 / $231.11 / $372.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.07 / $150.07 / $298.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $193.21