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Arizona rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $1.95 / $510.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $90.75 / $240.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $2.18 / $3.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.54 / $3.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.64 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48