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Kansas rates for HCPCS J7298

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.38 / $1,214.63 / $1,812.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.00 / $1,214.63 / $1,214.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.05 / $1,498.32 / $1,651.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.15 / $1,388.15 / $1,388.15
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
$1,090.76 / $1,322.04 / $1,812.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,428.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,428.41