go back

South Dakota rates for HCPCS J9250

Methotrexate sodium, 5 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.52 / $38.52 / $38.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.46 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.33 / $0.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31