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Utah rates for HCPCS J1000

Injection, depo-estradiol cypionate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.42 / $57.16 / $57.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $57.16 / $57.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.22 / $52.28 / $60.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $49.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.82 / $49.28 / $49.28