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Arizona rates for HCPCS 80204

Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.14 / $59.01 / $153.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $13.58 / $25.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.25 / $63.92 / $106.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.34 / $32.50 / $46.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.35 / $60.17 / $107.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.47 / $44.19 / $58.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $25.84 / $183.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $16.20 / $23.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.71 / $34.71 / $46.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $16.20 / $23.14