You can still get a true Makarov for $250 these days, which is still cheap for a dead nuts reliable all steel pistol. What else can you get for that price, a kel-tec? A Mak would laugh off torture tests that would leave a kel-tec crying.
I've carried a Makarov on occasion, although my 9x18 carry pistol of choice is the P64. They're almost identical in size to a kel-tec pf9 or a kahr cm9, they conceal under anything, and there are a ton of holsters that work for them. And as a bonus, after the necessary spring swap, their SA triggers are on par with a high end 1911. For about a $210-$220 total outlay, you can have yourself a high quality, reliable, all steel carry gun (P64 + shipping + new recoil and hammer springs) that has as many holster options as anything out there (any non-kydex Kahr, Kel-tec, or Walther PPK holster will work). Not bad.
I saw someone referred to a Makarov as a PPK clone. That's 100% false. First, it's the size of a PP, not a PPK. Second, not even one single part exchanges with a PP or PPK. The Mak is a clean sheet design, all Russian, that externally looks kind of like a PP. That's it.
Now if you want to talk about some of the other 9x18 pistols.. well, the P64 and PA63 are absolutely PP derivatives. I'm not sure if any parts actually interchange, but they're still very close in design. Based on size, you'd think the P64 is actually a PPK derivative but I've read otherwise. (the entire official line on the P64's creation is nonsensical anyway. In search of a DUTY pistol, they took a PP, which you know was such a large gun in the first place, chopped the grip down a bunch, chopped the barrel, slimmed out the grip frame and grips, installed snag free sights, then rounded off all edges. Maybe I'm crazy, but that kind of sounds like the treatment one would give when designing a concealed carry pistol... The P64 was adopted for duty use, but I don't believe that's what it was designed for. I think it was designed for the plainclothes warsaw cop)