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New York rates for HCPCS J1410

Injection, estrogen conjugated, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.74 / $466.55 / $781.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $527.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.64 / $313.64 / $392.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.16 / $392.06 / $429.97
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.50 / $341.50 / $358.58
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.50 / $341.50 / $341.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.28 / $369.87 / $392.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $425.35 / $832.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.35 / $425.35 / $506.72
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.06 / $392.06 / $406.86
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $406.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.08 / $490.08 / $490.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.28 / $369.87 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $392.06 / $539.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $549.41
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.86 / $406.86 / $406.86
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.70 / $392.06 / $406.86