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Arkansas 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 / $3,931.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $20.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.64 / $19.64 / $19.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $19.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.34 / $19.64 / $19.64