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Pennsylvania rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $3.71 / $222.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $85.50 / $220.08
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.46 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.94 / $1.96
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $1.53 / $222.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $82.50 / $203.78
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.66