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Michigan rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $53.70 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.50 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.76 / $6.76
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $53.70 / $69.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.70 / $34.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $20.89