go back

Wisconsin rates for HCPCS 80204

Methotrexate

Facilitymedian $83 · 10th–90th $31$3310%10%10th90th$83Professionalmedian $36 · 10th–90th $15$1150%10%10th90th$36$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $85.11 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $30.20 / $45.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $104.71 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $134.90
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $123.03 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $54.95 / $120.23
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $131.83 / $223.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $31.62 / $181.97
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $22.91 / $69.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $54.95 / $107.15
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $46.77 / $109.65
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $38.90 / $77.62
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $91.20 / $125.89
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $181.97
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $20.42
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $81.28
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $112.20 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $30.90 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $22.91 / $67.61