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Hydroxyprogesterone Caproate (Makena) Injection

Michigan rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Rates data updated July 2026.

How much does Hydroxyprogesterone Caproate (Makena) Injection cost?

$19.50per 10 mg

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $19.50 for each 10 mg of this drug. The price depends on where it is billed: about $19.50 from a physician practice, and about $33.88 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
$19.50
At a hospital outpatient department
$33.88

The same drug, in the same amount, costs 74% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$19.50$19.50 to $20.42
FacilityA hospital or hospital-owned outpatient department$33.88$28.84 to $53.70

How much rates vary

Facilitymedian $34 · 10th to 90th $19 to $54Professionalmedian $19 · 10th to 90th $7 to $29
$10$20$50facility $34professional $19

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
$19.50
Median
$33.88
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$26.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.76
Typical High
$6.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$53.70
Typical High
$69.18
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$25.70
Typical High
$34.67
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$21.88

Where Michigan 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.

Michigan· 49th of 51

$19.50

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.