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Hydroxyprogesterone Caproate (Makena) Injection

New York rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Rates data updated July 2026.

How much does Hydroxyprogesterone Caproate (Makena) Injection cost?

$19.50per 10 mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $19.50 for each 10 mg of this drug. The price depends on where it is billed: about $19.50 from a physician practice, and about $20.42 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$19.50
At a hospital outpatient department
$20.42

The same drug, in the same amount, costs 5% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$19.50$19.50 to $20.42
FacilityA hospital or hospital-owned outpatient department$20.42$19.50 to $27.54

How much rates vary

Facilitymedian $20 · 10th to 90th $19 to $48Professionalmedian $19 · 10th to 90th $19 to $21
$20$50facility $20professional $19

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$20.42
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$19.50
Typical High
$20.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$30.20
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$35.48
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$25.70
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.89
Typical High
$21.88
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.89
Typical High
$20.89
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$20.42
Typical High
$36.31
Univera
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.89
Typical High
$23.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.89
Typical High
$25.12

Where New York sits

The same service costs 1.8 times more in Kentucky than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 47th of 51

$19.50

KY $34.67IN $19.50

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.