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Indiana rates for HCPCS J1725

Hydroxyprogesterone caproate

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.87 / $28,874.72 / $39,374.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,124.66 / $34,124.66 / $34,124.66