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Massachusetts rates for HCPCS J7298

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.48 / $2,467.52 / $4,228.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.00 / $1,214.63 / $1,470.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.93 / $1,384.68 / $3,848.93
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.93 / $1,214.63 / $1,494.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.76 / $1,766.85 / $3,766.33
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $2,573.01
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.93 / $1,706.75 / $3,810.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.68 / $1,384.68 / $2,915.12
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,821.95
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.93 / $1,220.27 / $2,564.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,700.53