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Kansas rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $371.54 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $89.13 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $19.95 / $51.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.50 / $0.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.42
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
$0.52 / $0.65 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.54