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Hydroxyprogesterone Caproate (Makena) Injection

California rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Rates data updated July 2026.

How much does Hydroxyprogesterone Caproate (Makena) Injection cost?

$22.91per 10 mg

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $22.91 for each 10 mg of this drug. The price depends on where it is billed: about $20.42 from a physician practice, and about $23.99 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$20.42
At a hospital outpatient department
$23.99

The same drug, in the same amount, costs 17% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.42$19.95 to $34.67
FacilityA hospital or hospital-owned outpatient department$23.99$21.38 to $31.62

How much rates vary

Facilitymedian $24 · 10th to 90th $19 to $52Professionalmedian $20 · 10th to 90th $19 to $54
$0.1$1$10$100facility $24professional $20

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$47.86
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.95
Typical High
$53.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$21.88
Typical High
$31.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$41.69
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$23.99
Typical High
$36.31
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$25.70
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$67.61
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$28.84
Typical High
$28.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$48.98

Where California sits

The same service costs 1.8 times more in Kentucky than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 13th of 51

$22.91

KY $34.67IN $19.50

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.