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Rhode Island rates for HCPCS J1000

Injection, depo-estradiol cypionate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.16 / $160.16 / $160.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $51.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.91 / $46.91 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $49.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.49 / $49.28 / $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
$1.69 / $49.28 / $49.28