go back

Maryland rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $72.84 / $304.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $19.50 / $94.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56