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Arizona rates for HCPCS J1729

Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.52 / $32.74 / $49.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $1,180.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.82 / $48.67 / $77.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $13.10 / $86.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.59 / $18.96 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.64