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Missouri rates for HCPCS J1725

Hydroxyprogesterone Caproate

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $3.79 / $3.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $90.00 / $90.00