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Idaho rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $213.80 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $112.20 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.91 / $2.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.37 / $1.82
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.71 / $213.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $66.07 / $147.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.46
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48