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Idaho rates for HCPCS 80204

Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $100.00 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $36.31 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $67.61 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.90 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $79.43 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $36.31 / $54.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $89.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $40.74 / $46.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $72.44 / $138.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $40.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $46.77