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Rhode Island rates for HCPCS J1726

Injection Hydroxyprogesterone Caproate (Makena) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.84 / $78.84 / $78.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $19.41 / $20.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.62 / $20.83 / $22.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $21.83 / $21.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $19.64