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Oregon rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $48.98 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.95 / $19.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $43.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.95 / $19.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $23.99 / $42.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $26.92 / $57.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $70.79 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $27.54 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50