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New Jersey rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Facilitymedian $31 · 10th–90th $26–$4470%20%40%10th90th$31Professionalmedian $20 · 10th–90th $19–$290%50%10th90th$20$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $30.90 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.95 / $28.84
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $11,481.54 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $16.98 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $21.38