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Montana rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $22.50 / $156.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.95 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.95 / $1.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.65 / $0.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48