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Delaware rates for HCPCS 80204

Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.36 / $44.36 / $44.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.47 / $32.01 / $32.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $44.19 / $55.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $102.60 / $102.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $16.20 / $38.57