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New Hampshire rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.55 / $0.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
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 / $0.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.95 / $1.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.66 / $1.04