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Alabama rates for HCPCS J7298

Levonorgestrel-Releasing Intrauterine Contraceptive System (Mirena) 52 Mg (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $4,969.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,336.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.39 / $852.39 / $1,146.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,214.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,238.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,384.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.54 / $1,214.63 / $1,214.63