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Washington rates for HCPCS J9260

Injection, methotrexate sodium, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $4.51 / $172.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.84 / $5.18
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.10 / $85.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $3.10 / $40.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $2.66 / $5.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $3.45
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $2.87 / $6.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.00 / $6.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.83 / $30.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.92 / $6.78
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $3.34 / $3.56
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $4.29 / $7.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.10 / $3.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $2.82 / $3.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $3.37