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Utah rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.95 / $23.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $33.88 / $54.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50