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Arizona rates for HCPCS J7298

Levonorgestrel-releasing intrauterine contraceptive system (Mirena), 52 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.40 / $1,651.96 / $3,090.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.70 / $1,336.09 / $3,734.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.05 / $744.05 / $744.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.27 / $4,212.35 / $6,865.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.66 / $1,166.05 / $7,726.53
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 / $1,238.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.64 / $1,415.91 / $1,736.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,214.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,214.63