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Iowa rates for HCPCS J1410

Injection, estrogen conjugated, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $457.09 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $407.38 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $501.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $389.05 / $407.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $389.05 / $588.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $389.05 / $575.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $501.19 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $389.05 / $407.38
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05