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New York rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $93.33 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $120.23 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.54 / $0.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.60 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.58 / $1.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.54
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.36
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.32 / $0.36
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.69
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.32 / $0.38
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.36 / $10.47