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North Carolina 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 / $21.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.59 / $13.91 / $16.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $14.32 / $14.32
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 / $16.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $14.74 / $18.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $17.57 / $17.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $17.73
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $90.90