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Payers and negotiated rates for HCPCS J0970 | medprice.ai

PR ESTRADIOL VALERATE INJECTION

Payers reporting HCPCS J0970

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Payer pricing summary

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Low

$24

Average

$90

Median

$72

High

$183

Payer rate distribution

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Filter by billing methodology

Filter by billing class

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1	Cigna professional · percent of total billed charges · bothfrom % of charges · +2 other terms	9	$41	$39	$5	14%	—	$26 – $49
2	Aetna professional · percent of total billed charges · bothfrom % of charges · +2 other terms	8	$41	$45	$5	12%	—	$41 – $54
3	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	8	$199	$177	$41	23%	—	$88 – $213
4	UnitedHealthcare professional · percent of total billed charges · bothfrom % of charges · +2 other terms	7	$14	$19	$10	54%	—	$14 – $42
5	First Health professional · percent of total billed charges · bothfrom % of charges	6	$48	$48	$7	14%	—	$41 – $61
6	Humana professional · percent of total billed charges · bothfrom % of charges	6	$47	$43	$12	27%	—	$28 – $54
7	MultiPlan professional · percent of total billed charges · bothfrom % of charges · +2 other terms	5	$41	$40	$5	13%	—	$33 – $49
8	Caresource professional · percent of total billed charges · bothfrom % of charges	4	$24	$24	—	—	—	$24 – $24
9	Ambetter professional · percent of total billed charges · bothfrom % of charges	2	$41	$41	—	—	—	$41 – $41
10	Kaiser fee schedule · both · +1 other terms	2	$39	$39	—	—	—	$39 – $39
11	Phcs professional · percent of total billed charges · bothfrom % of charges	2	$41	$41	—	—	—	$41 – $41
12	Anthem facility · fee schedule · outpatient	1	$183	$183	—	—	—	$183 – $183
13	Medica percent of total billed charges · outpatientfrom % of charges	1	$172	$172	$6	3%	—	$166 – $177
14	Sanford Health Plan percent of total billed charges · outpatientfrom % of charges	1	$90	$90	$9	10%	—	$77 – $103
15	Ucare percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$171	$171	—	—	—	$171 – $171

← Hospitals reporting HCPCS J0970 · Snapshot 20261113T090226Z-3ce6c0b8