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Louisiana 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 / $49.77 / $103.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.38 / $49.77 / $56.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.55 / $46.55 / $69.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.55 / $46.55 / $47.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.49 / $46.49 / $49.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $49.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.29 / $49.28 / $58.96