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Illinois rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $1.20 / $182.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.67 / $154.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.61 / $7.63
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.99 / $120.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.51