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Rhode Island rates for HCPCS 80204

Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $26.92 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $44.67 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $21.88 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $21.38 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $22.91 / $56.23