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Hawaii rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.60 / $326.60 / $326.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $94.50 / $296.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.48 / $0.72
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.56 / $11.04