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Louisiana rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.26 / $24.26 / $33.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.26 / $24.26 / $24.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.73 / $24.23 / $31.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.05 / $23.05 / $23.51
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.80 / $349.80 / $349.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.26 / $19.64 / $24.56