go back

Georgia rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.14 / $20.14 / $51.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $20.14 / $20.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.64 / $21.32 / $21.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $23.05 / $27.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.62 / $66.00 / $102.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $19.64