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Michigan rates for HCPCS J1000

Injection, depo-estradiol cypionate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.32 / $50.76 / $150.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.32 / $50.76 / $56.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.91 / $109.72 / $207.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.69 / $50.20 / $50.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $49.28 / $49.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.32 / $60.40 / $134.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.32 / $49.28 / $59.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.66 / $53.94 / $56.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $52.29