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Arizona rates for HCPCS J1000

Injection, depo-estradiol cypionate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.72 / $94.43 / $147.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.60 / $56.76 / $63.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.42 / $158.32 / $257.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.22 / $45.41 / $313.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.49 / $49.28 / $49.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $49.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.77 / $56.76 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.91 / $46.91 / $46.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $49.28