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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
$268.20 / $268.20 / $395.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $395.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.06 / $588.09 / $588.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.87 / $384.42 / $392.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $724.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.42 / $392.06 / $452.26