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Texas 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
$392.06 / $685.41 / $1,562.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $395.98 / $546.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.80 / $751.20 / $1,484.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.19 / $388.19 / $388.19
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.88 / $326.23 / $671.66
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.32 / $1,921.09 / $1,960.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.72 / $392.06 / $577.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.06 / $392.06 / $710.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.68 / $392.06 / $560.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.48 / $392.06 / $693.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.91 / $382.91 / $529.28