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Mississippi rates for HCPCS J1050

Injection Medroxyprogesterone Acetate 1 Mg (Reinstated) Injection Medroxyprogesterone Acetate 100 Mg Special Coverage Instructions Apply. See Mcm: 2049) (Old Description - Deleted 06/30/2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.78 / $0.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.59 / $135.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $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
$0.46 / $0.48 / $0.62