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Alabama rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $20.42 / $20.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.95 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $138.04 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $20.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50