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Maine rates for HCPCS J1726

Injection Hydroxyprogesterone Caproate (Makena) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.28 / $56.28 / $60.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.62 / $20.62 / $20.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.76 / $60.76 / $60.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.62 / $20.62 / $20.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $24.39
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.28 / $56.28 / $60.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.62 / $20.62 / $60.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $28.49