go back

North Carolina rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $75.26 / $425.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $1.07 / $159.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $1.18 / $1.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.53 / $0.53
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 / $0.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.62
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $100.00 / $100.00