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Rhode Island rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $70.84 / $115.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.54 / $74.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.56 / $0.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.59
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48