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Montana rates for HCPCS J1410

Injection, estrogen conjugated, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.35 / $472.80 / $853.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.40 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.06 / $437.06 / $953.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $437.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.06 / $437.06 / $953.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $425.35 / $554.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06