go back

Indiana rates for HCPCS 80204

Drug Assay Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.63 / $62.87 / $142.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $31.63 / $36.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.47 / $34.52 / $115.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $15.43 / $23.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.57 / $46.28 / $52.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.57 / $44.36 / $54.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.07 / $72.75 / $150.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $44.19 / $55.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $23.14 / $34.71