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Louisiana rates for HCPCS 80204

Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $56.23 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $30.90 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $75.86 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $42.66 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $43.65 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $19.95 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $34.67 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $16.22 / $40.74