go back

Illinois rates for HCPCS J1726

Injection Hydroxyprogesterone Caproate (Makena) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.41 / $36.39 / $65.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $19.41 / $24.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.86 / $174.79 / $404.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $56.30 / $125.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $20.23