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Pennsylvania rates for HCPCS J9260

Injection, methotrexate sodium, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $6.87 / $229.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $2.83 / $6.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $2.58 / $2.82
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $3.30 / $5,050.42
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $3.06 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $2.82 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.06 / $3.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.83 / $23.45 / $199.75
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $3.75 / $3.75
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $3.21 / $4,849.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $6.87 / $220.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.84 / $6.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $4.00 / $27.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $2.82 / $2.82
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.92
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.99 / $3.89