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Tennessee rates for HCPCS 80204

Drug Assay Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.93 / $53.52 / $108.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $28.93 / $36.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $28.93 / $61.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.07 / $75.98 / $98.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.96 / $21.60 / $58.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.11 / $183.21 / $183.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.14 / $34.71 / $38.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $23.14 / $38.57