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Wisconsin rates for HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Facilitymedian $166 · 10th–90th $1$3800%10%20%10th90th$166Professionalmedian $120 · 10th–90th $1$2690%10%20%10th90th$120$0.2$1.0$5.0$20.0$100.0$500.0

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
$95.50 / $186.21 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $125.89 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.68 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $0.41 / $0.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.56 / $1.07
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $0.56 / $0.66
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.85
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.65 / $1.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.54 / $0.54 / $0.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.56
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $0.93 / $1.82
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.56
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.78 / $0.95
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 / $0.66