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Maine rates for HCPCS J1410

Injection, estrogen conjugated, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.58 / $909.58 / $980.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.75 / $472.80 / $472.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.40 / $476.24 / $1,242.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $474.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.58 / $909.58 / $980.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.75 / $472.80 / $980.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $392.06 / $568.49