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Nebraska rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.26 / $46.63 / $53.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $19.41 / $1,280.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $33.00 / $41.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.26 / $36.88 / $90.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $29.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.93 / $24.19 / $32.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $19.64 / $19.64