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North Carolina rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.62 / $20.62 / $42.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.62 / $24.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $35.61 / $49.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.34 / $20.34 / $32.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.62 / $21.86 / $26.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $34.86 / $34.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $25.55
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $85.00