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Utah rates for HCPCS J1410

Injection, estrogen conjugated, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $398.11 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $549.54 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,380.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $407.38 / $407.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $389.05 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05