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Delaware rates for HCPCS J7298

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,691.53 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,318.26 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,691.53 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,258.93 / $1,819.70