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Washington rates for HCPCS J9250

Methotrexate sodium, 5 mg

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.52 / $38.52 / $38.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.32 / $0.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $79,999.20 / $79,999.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.40 / $0.62