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Vermont rates for HCPCS J1410

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $671.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.84 / $443.84 / $443.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.87 / $433.46 / $722.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.87 / $433.46 / $722.43
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.46 / $392.06 / $603.11