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Virginia rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.62 / $22.52 / $44.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.62 / $20.62 / $20.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $19.41 / $19.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $14.04 / $14.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.26 / $24.26 / $31.40
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.67 / $19.64 / $25.15
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $19.64 / $25.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.64 / $19.64