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West Virginia rates for HCPCS 80204

Drug Assay Methotrexate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.63 / $48.21 / $57.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.93 / $31.24 / $31.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.43 / $52.07 / $57.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.28 / $46.28 / $52.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.34 / $46.28 / $115.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.63 / $55.24 / $185.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.71 / $284.43 / $284.43
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $23.14 / $23.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $19.29 / $55.93