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Missouri rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.41 / $24.26 / $32.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $19.41 / $25.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.42 / $33.40 / $51.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.41 / $24.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.33 / $33.33 / $33.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.41 / $54.54 / $90.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.70 / $19.64 / $22.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $19.64 / $20.85