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Mississippi rates for HCPCS 80204

Drug Assay Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.57 / $70.58 / $78.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.47 / $42.43 / $74.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.57 / $38.57 / $38.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.57 / $38.57 / $38.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.07 / $26.32 / $28.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $36.08 / $55.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $19.29 / $57.86