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Georgia rates for HCPCS J1729

Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.59 / $13.59 / $13.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $13.59 / $13.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $14.80 / $14.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $15.55 / $32.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $14.32 / $28.07
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $42.00 / $66.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $16.37