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Idaho rates for HCPCS 80204

Drug Assay Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.49 / $89.49 / $120.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $75.20 / $75.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.61 / $40.86 / $150.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.88 / $44.19 / $55.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $75.20 / $79.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.57 / $38.57 / $46.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.86 / $77.14 / $138.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $66.34 / $67.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $16.20 / $46.28