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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
$1,515.86 / $2,802.69 / $3,738.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,537.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,238.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,351.71 / $2,715.65 / $6,943.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.05 / $1,214.63 / $1,821.95