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North Carolina rates for HCPCS 80204

Drug Assay Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.85 / $54.39 / $110.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $22.29 / $38.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.34 / $76.73 / $80.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.36 / $17.36 / $27.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.51 / $39.38 / $101.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.97 / $20.23 / $55.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $23.14 / $38.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.07 / $38.57 / $52.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.57 / $45.51 / $46.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $19.29 / $38.57
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.71 / $183.21 / $183.21