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North Dakota rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.41 / $19.41 / $37.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $24.26 / $24.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $33.00 / $41.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.41 / $19.41 / $58.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $21.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.70 / $19.64 / $21.34