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Washington 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 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.95 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $117.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $28.18 / $50.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $23.99 / $32.36
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $19.95 / $40.74
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $20.42 / $21.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $18.20 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50