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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
$20.14 / $20.14 / $20.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $20.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.43 / $30.08 / $41.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $19.64