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Mississippi rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $28.84 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.95 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $14.79 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.50 / $30.20