go back

Illinois rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Facilitymedian $41 · 10th–90th $19$720%20%10th90th$41Professionalmedian $19 · 10th–90th $19$430%20%40%10th90th$19$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $40.74 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.50 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $173.78 / $407.38
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $56.23 / $199.53
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $22.91 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.95