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Wisconsin rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Facilitymedian $19 · 10th–90th $14–$790%50%10th90th$19Professionalmedian $20 · 10th–90th $19–$500%20%40%10th90th$20$20.0$50.0$100.0$200.0$500.0$1.0K

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
$19.05 / $19.50 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.95 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $79.43 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $37.15 / $41.69
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $23.99 / $23.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $23.99 / $23.99
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $29.51
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $16.22
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $85.11 / $85.11
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $35.48 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $26.92