| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.54 | $146.54 | $146.54 | |
Aetna
| Professional | $146.54 | $146.54 | $146.54 | |
United
| Professional | $136.80 | $136.80 | $136.80 |
Injection, trimetrexate glucuronate, per 25 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.54 | $146.54 | $146.54 | |
Aetna
| Professional | $146.54 | $146.54 | $146.54 | |
United
| Professional | $136.80 | $136.80 | $136.80 |