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West Virginia rates for HCPCS J1410

Injection, estrogen conjugated, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $389.05 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $1,659.59 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $389.05 / $467.74