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Texas rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.41 / $21.88 / $46.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $19.89 / $26.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.12 / $44.90 / $92.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $20.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.80 / $349.80 / $349.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.40 / $31.40 / $31.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $85.00 / $90.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.89 / $24.26 / $28.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.64 / $27.76 / $32.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $19.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $26.53