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Texas rates for HCPCS J1000

Injection, depo-estradiol cypionate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.28 / $69.56 / $95.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.77 / $63.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.25 / $33.54 / $66.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.49 / $44.49 / $44.49
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $170.63 / $170.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $49.28 / $72.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.18 / $49.28 / $89.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.88 / $49.28 / $70.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.46 / $49.28 / $69.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $49.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $38.65 / $66.53