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Idaho rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.95 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $21.88 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $20.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $29.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $21.88 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50