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Wisconsin rates for HCPCS J9250

Methotrexate sodium, 5 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.71 / $1.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.54 / $0.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.52 / $38.52 / $38.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.52 / $38.52 / $38.52