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Virginia rates for HCPCS J1410

Injection, estrogen conjugated, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.67 / $697.86 / $957.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $411.67 / $411.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.06 / $827.25 / $1,333.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.32 / $597.78 / $902.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.87 / $369.87 / $392.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $452.26 / $470.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.70 / $392.06 / $555.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.00 / $161.00 / $161.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.36 / $392.06 / $501.84
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.36 / $392.06 / $501.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.73 / $392.06 / $452.26