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Michigan rates for HCPCS J1410

Injection, estrogen conjugated, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.47 / $403.82 / $1,255.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $403.82 / $472.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.66 / $873.10 / $1,651.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.49 / $399.46 / $399.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.76 / $392.06 / $392.06
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.06 / $503.09 / $1,255.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $402.47 / $470.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.32 / $449.35 / $450.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $415.94