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Texas rates for HCPCS 80204

Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.77 / $63.64 / $187.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $25.46 / $38.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.43 / $121.11 / $218.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $20.44 / $38.18
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $36.99 / $54.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.57 / $38.57 / $38.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.41 / $62.68 / $172.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.88 / $29.10 / $58.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.71 / $183.21 / $183.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.60 / $38.57 / $42.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $38.57 / $38.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.21 / $38.57 / $55.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.88 / $29.70 / $49.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.20 / $38.57 / $46.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $16.20 / $23.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $15.43 / $38.57