go back

Idaho rates for HCPCS J1000

Injection, depo-estradiol cypionate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.91 / $53.95 / $141.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.91 / $54.74 / $61.60
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $61.60 / $88.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $61.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.32 / $42.32 / $42.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.13 / $59.13 / $61.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $49.28