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Ohio rates for HCPCS 80204

Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.86 / $66.34 / $142.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $24.30 / $35.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.06 / $42.43 / $68.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $15.43 / $38.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.22 / $38.57 / $52.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $50.14 / $52.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.07 / $39.71 / $149.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $18.35 / $55.24
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.07 / $39.71 / $149.79
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $18.32 / $32.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.93 / $36.16 / $47.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $23.14 / $50.53