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North Carolina rates for HCPCS J1000

Injection, depo-estradiol cypionate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.03 / $46.28 / $54.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $43.64 / $56.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.67 / $21.21 / $60.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.18 / $20.18 / $46.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.28 / $49.28 / $49.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $58.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.25 / $58.64 / $64.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $64.06
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $170.63