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Washington, DC rates for HCPCS 80204

Drug Assay Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.93 / $87.93 / $236.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.93 / $28.93 / $28.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $120.72 / $264.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.68 / $65.18 / $140.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $21.22 / $55.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.40 / $78.40 / $78.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $17.36 / $35.10