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Indiana rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.41 / $47.16 / $87.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $19.41 / $19.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.60 / $39.29 / $59.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.45 / $30.57 / $41.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.82 / $28,874.72 / $39,374.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,124.66 / $34,124.66 / $34,124.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.97 / $17.97 / $17.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $27.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $24.57