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Oklahoma rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.64 / $19.64 / $39.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $19.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.49 / $42.74 / $59.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.64 / $24.26 / $90.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $19.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $19.64