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New Mexico rates for HCPCS 80204

Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.93 / $57.85 / $115.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.93 / $46.28 / $46.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $23.66 / $31.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.07 / $25.07 / $25.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $44.19 / $55.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.05 / $36.64 / $46.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.63 / $38.57 / $41.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.57 / $38.57 / $38.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $16.20 / $23.14