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Wisconsin rates for HCPCS J1380

Estradiol Valerate 10 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $15.42 / $26.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.47 / $21.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.06 / $9.06 / $9.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.25 / $9.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.92 / $9.92 / $11.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $18.23 / $26.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $14.41 / $16.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $7.71 / $15.67
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $14.50 / $14.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.71 / $7.71 / $17.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $7.71 / $14.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $7.71 / $15.67
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $14.50 / $14.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $11.29 / $25.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.25 / $7.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $10.18 / $17.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.25 / $10.88