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Nebraska rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $1.25 / $76.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $85.50 / $151.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.62 / $0.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.64 / $0.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.19 / $0.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.52 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.69 / $0.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.69 / $1.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.48 / $0.48