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Rhode Island rates for HCPCS J1410

Injection Estrogen Conjugated Per 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.19 / $1,274.19 / $1,274.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $407.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.42 / $390.74 / $412.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.74 / $392.06 / $392.06