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Georgia rates for HCPCS J1410

Injection Estrogen Conjugated Per 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.74 / $1,667.51 / $4,625.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.74 / $392.06 / $472.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.06 / $638.27 / $1,438.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.64 / $392.06 / $392.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.06 / $392.06 / $768.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.87 / $369.87 / $392.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.96 / $108.96 / $421.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $415.81