go back

Hydroxyprogesterone Caproate (Makena) Injection

Maine rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Rates data updated July 2026.

How much does Hydroxyprogesterone Caproate (Makena) Injection cost?

$20.42per 10 mg

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $20.42 for each 10 mg of this drug. The price depends on where it is billed: about $19.95 from a physician practice, and about $60.26 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$19.95
At a hospital outpatient department
$60.26

The same drug, in the same amount, costs 202% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$19.95$19.95 to $20.42
FacilityA hospital or hospital-owned outpatient department$60.26$56.23 to $60.26

How much rates vary

Facilitymedian $60 · 10th to 90th $56 to $60Professionalmedian $20 · 10th to 90th $19 to $25
$0.1$1$10facility $60professional $20

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$60.26
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$20.42
Typical High
$20.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$19.95
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$24.55
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$60.26
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$20.42
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.95
Typical High
$28.18

Where Maine sits

The same service costs 1.8 times more in Kentucky than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 26th of 51

$20.42

KY $34.67IN $19.50

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.