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Indiana rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $2.34 / $206.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.54 / $126.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.56 / $0.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.30
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 / $1.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.51