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Maryland rates for HCPCS J1729

Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $13.91 / $17.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
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
$25.00 / $25.00 / $25.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.23 / $13.64 / $16.36