go back

Vermont rates for HCPCS 80204

Drug Assay Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.83 / $47.83 / $47.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.20 / $223.20 / $223.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.56 / $64.56 / $235.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.03 / $44.19 / $55.24
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.56 / $64.56 / $235.10
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.03 / $44.19 / $55.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $23.14 / $54.00