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Wisconsin rates for HCPCS J1729

Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

Facilitymedian $13 · 10th–90th $13–$420%50%10th90th$13Professionalmedian $13 · 10th–90th $13–$220%50%90th$13$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $13.18 / $13.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $37.15 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $17.38 / $19.50
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $16.22 / $16.22
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $16.22 / $16.22
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $17.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $19.05 / $19.05
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $91.20
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $18.62