go back

New Mexico rates for HCPCS J1410

Injection, estrogen conjugated, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $602.56 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $407.38 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,023.29 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $79.43 / $776.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $389.05 / $389.05