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Indiana rates for HCPCS J9250

Methotrexate sodium, 5 mg

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,686.94 / $43,651.58 / $70,794.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.31 / $0.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.31 / $0.35