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Kentucky rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.50 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.50 / $23.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $36.31 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $28.84 / $28.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,686.94 / $52,480.75 / $63,095.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50