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Indiana rates for HCPCS J1410

Injection, estrogen conjugated, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.65 / $918.70 / $1,775.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $395.98 / $395.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.06 / $784.12 / $1,038.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $392.06 / $556.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.06 / $392.06 / $588.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $490.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.52 / $392.06 / $1,052.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $486.15