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Idaho rates for HCPCS J1410

Injection, estrogen conjugated, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.74 / $390.74 / $2,031.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.74 / $431.27 / $490.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.87 / $392.06 / $392.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.44 / $519.48 / $1,408.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $490.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.89 / $382.89 / $382.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.03 / $576.04 / $966.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.48 / $470.48 / $490.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06