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Virginia 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 / $15.19 / $30.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $13.10 / $13.10
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
$26.00 / $26.00 / $26.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.37 / $16.37 / $21.18
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.96 / $13.64 / $17.46
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $13.64 / $17.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.23 / $13.64 / $16.37