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Nebraska rates for HCPCS J1410

Injection, estrogen conjugated, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.74 / $392.06 / $866.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.74 / $392.06 / $853.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.89 / $421.67 / $443.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.24 / $437.94 / $443.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.00 / $374.00 / $374.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.11 / $392.06 / $487.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.15 / $390.74 / $1,914.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.67 / $390.74 / $429.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.05 / $574.37 / $781.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.32 / $440.86 / $787.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.46 / $392.06 / $431.27