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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
$20.62 / $20.62 / $1,116.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $20.62 / $34.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.43 / $135.22 / $181.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $19.64