go back

Michigan rates for HCPCS 80204

Drug Assay Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.64 / $36.64 / $57.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $36.64 / $36.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.05 / $27.05 / $27.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $27.05 / $36.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $44.19 / $55.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.81 / $36.64 / $67.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.64 / $37.03 / $46.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.73 / $31.93 / $43.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $23.14 / $24.68