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Rhode Island rates for HCPCS 80204

Drug Assay Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $13.38 / $31.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.57 / $45.43 / $49.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.71 / $28.93 / $28.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.53 / $114.53 / $114.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.86 / $44.19 / $55.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $23.14 / $55.63