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California rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $50.12 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.95 / $1,288.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $21.88 / $31.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $21.38 / $41.69
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $23.99 / $52.48
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.30 / $63.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $72.44 / $138.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $85.11 / $85.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $28.84 / $28.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $41.69