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Alaska rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $68.04 / $190.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.88 / $175.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.72 / $0.97