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South Carolina rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Facilitymedian $41 · 10th–90th $19–$810%10%10th90th$41Professionalmedian $20 · 10th–90th $19–$280%20%40%10th90th$20$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $72.44 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.95 / $27.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $41.69 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $14.45 / $16.60
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $26.92
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $35.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $21.38