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Tennessee rates for HCPCS J3305

Injection, trimetrexate glucuronate, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.54 / $190.50 / $290.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.24 / $146.54 / $146.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.49 / $169.49 / $169.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $150.07