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Indiana rates for HCPCS 80204

Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $60.26 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $30.90 / $37.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $38.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $25.12 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $36.31 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $38.90 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $22.91 / $38.90