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Michigan rates for HCPCS J7298

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.63 / $2,247.67 / $3,464.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.79 / $1,214.63 / $2,211.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.67 / $2,665.55 / $5,042.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.56 / $1,158.56 / $1,219.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.58 / $1,238.93 / $1,238.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,101.70 / $1,898.72 / $3,437.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.79 / $1,287.51 / $2,033.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.26 / $1,931.26 / $1,931.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,288.59