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Montana rates for HCPCS 80204

Drug Assay Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.36 / $44.36 / $44.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.68 / $51.68 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $51.68 / $51.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.93 / $55.93 / $55.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.88 / $55.24 / $55.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.93 / $55.93 / $55.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.71 / $38.57 / $55.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $16.20 / $38.57