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Washington rates for HCPCS J1000

Injection, depo-estradiol cypionate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.56 / $54.21 / $98.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.38 / $54.21 / $58.23
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.45 / $49.28 / $170.63
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.94 / $49.28 / $58.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.49 / $46.49 / $84.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $60.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.91 / $58.64 / $102.50
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.45 / $40.45 / $40.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.93 / $41.94 / $48.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.28 / $49.28 / $49.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $49.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $49.28