go back

Hawaii rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.20 / $28.20 / $28.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.94 / $19.64 / $29.48
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.01 / $29.01 / $29.01