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Minnesota rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.55 / $1.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $95.50 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.72 / $0.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.55 / $0.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.50 / $0.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.18 / $0.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.48 / $0.56
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.87 / $1.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.87