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Indiana rates for HCPCS J1000

Injection, depo-estradiol cypionate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.38 / $92.76 / $213.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.77 / $49.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.74 / $98.56 / $147.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.88 / $49.28 / $69.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.28 / $49.28 / $69.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $61.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.28 / $49.28 / $49.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.70 / $49.28 / $106.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $61.11