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Massachusetts rates for HCPCS J1726

Injection Hydroxyprogesterone Caproate (Makena) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.62 / $20.62 / $48.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.62 / $20.62 / $20.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.62 / $55.26 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.93 / $20.62 / $26.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.73 / $29.41 / $62.70
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $41.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.93 / $19.64 / $29.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.93 / $19.64 / $27.51