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Illinois rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $40.74 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.50 / $25.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $173.78 / $407.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $56.23 / $199.53
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $22.91 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $20.42