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South Carolina rates for HCPCS 80204

Drug Assay Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $182.89 / $304.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $30.08 / $33.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.57 / $39.00 / $53.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.09 / $111.81 / $219.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.34 / $21.60 / $87.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $34.71 / $40.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.57 / $38.57 / $52.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $23.14 / $46.28