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Indiana rates for HCPCS J1729

Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.10 / $32.74 / $58.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $13.10 / $13.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.69 / $27.28 / $40.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $18.48 / $24.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $28,874.72 / $39,374.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,124.66 / $34,124.66 / $34,124.66
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 / $38.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $16.91