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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
$24.26 / $24.26 / $24.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $20.14 / $1,280.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.82 / $41.15 / $65.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.21 / $29.01 / $29.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.08 / $105.11 / $127.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.33 / $38.72 / $41.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.69 / $95.92 / $120.38
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $33.00 / $44.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.26 / $24.26 / $41.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $27.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $35.36