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Missouri rates for HCPCS 80204

Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $53.23 / $132.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $33.17 / $37.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.57 / $40.50 / $178.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $26.61 / $78.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.45 / $80.90 / $91.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $36.78 / $55.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $60.55 / $183.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $23.14 / $43.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.57 / $46.28 / $57.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $23.14 / $46.28