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Washington rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Facilitymedian $22 · 10th–90th $14–$490%20%10th90th$22Professionalmedian $20 · 10th–90th $19–$240%20%40%10th90th$20$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.95 / $23.99
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $21.88 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $117.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $28.18 / $50.12
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $47.86
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $19.95 / $40.74
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $21.88 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $22.91 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50