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Missouri rates for HCPCS J1000

Injection, depo-estradiol cypionate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $58.88 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $52.48 / $72.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $51.29 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $51.29 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $53.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $54.95 / $169.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $46.77 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $56.23 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $51.29 / $60.26