| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.19 | $0.19 | $0.24 | |
Cigna
| Professional | $0.19 | $0.19 | $0.19 | |
Highmark BCBS
| Facility | $30.32 | $30.32 | $30.32 | |
United
| Professional | $0.19 | $0.19 | $5.14 |
Methotrexate; Oral 2.5 Mg (Special Coverage Instructions Apply. See Mcm: 2049.5)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.19 | $0.19 | $0.24 | |
Cigna
| Professional | $0.19 | $0.19 | $0.19 | |
Highmark BCBS
| Facility | $30.32 | $30.32 | $30.32 | |
United
| Professional | $0.19 | $0.19 | $5.14 |