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Massachusetts rates for HCPCS 80204

Drug Assay Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $86.78 / $120.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $27.00 / $31.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.50 / $44.11 / $183.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $23.14 / $67.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.00 / $89.09 / $155.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $36.26 / $38.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.82 / $26.95 / $87.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.60 / $44.19 / $58.85
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.54 / $55.54 / $65.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.57 / $46.48 / $92.18
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.75 / $78.75 / $78.75
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.11 / $183.21 / $183.21
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $23.14 / $67.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $23.14 / $57.86