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Texas rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $99.00 / $681.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.53 / $0.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.57 / $1.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $115.45 / $280.25
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.69 / $1.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.27 / $10.27 / $10.27
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $95.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.56 / $0.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.55 / $1.70
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.31 / $15.31 / $19.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.56 / $0.76
Providence
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
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.77