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Tennessee rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $26.30 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.95 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $85.11 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $14.79 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $19.50 / $19.50