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Minnesota rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.95 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $43.65 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $20.42 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $109.65 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.90 / $41.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $104.71 / $123.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $44.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $40.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $35.48