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Washington rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Facilitymedian $148 · 10th–90th $1–$2140%10%20%10th90th$148Professionalmedian $126 · 10th–90th $22–$3090%10%20%10th90th$126$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $147.91 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $125.89 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $6.03 / $60.26
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.37 / $0.37 / $0.37
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.37 / $0.37 / $0.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $1.10 / $2.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.37 / $0.37 / $0.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.37 / $0.37 / $0.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.54 / $0.54 / $1.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.54