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Louisiana rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.68 / $319.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.65 / $1.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.23 / $0.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.27 / $10.27 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.53