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Colorado rates for HCPCS J7298

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.45 / $1,793.73 / $4,404.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.79 / $1,214.63 / $2,310.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,554.73 / $2,198.48 / $3,898.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,238.93
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
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,736.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,190.00 / $3,190.00 / $3,190.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,214.63