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Pennsylvania rates for HCPCS J1410

Injection, estrogen conjugated, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.06 / $736.46 / $1,150.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $395.98 / $853.12
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.55 / $425.35 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.86 / $406.86 / $406.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.87 / $392.06 / $392.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.65 / $666.96 / $1,187.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $395.98 / $1,187.84
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.87 / $392.06 / $392.06
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.52 / $355.52 / $412.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.52 / $355.52 / $412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $541.42