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Ohio rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.41 / $50.22 / $74.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $19.41 / $53.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.48 / $45.98 / $127.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $30.57 / $43.40
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.04 / $17.04 / $17.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,702.01 / $59,702.01 / $59,702.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $25.74