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Massachusetts rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $69.19 / $212.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $195.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $1.75 / $95.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.56 / $0.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.73 / $1.55
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $1.21
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $146.63 / $162.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $95.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.48 / $0.72
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.48 / $0.81