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Pennsylvania rates for HCPCS J9250

Methotrexate sodium, 5 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.32 / $0.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.40 / $0.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.32 / $0.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22