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Minnesota rates for HCPCS J7298

Levonorgestrel-Releasing Intrauterine Contraceptive System (Mirena) 52 Mg (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.42 / $1,703.45 / $3,988.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.00 / $1,216.00 / $2,220.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.73 / $1,330.31 / $2,654.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.14 / $1,238.93 / $1,238.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,141.15 / $3,684.59 / $4,485.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.36 / $1,357.31 / $1,469.14
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.87 / $3,362.43 / $4,220.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.80 / $1,156.80 / $1,573.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.83 / $1,640.28 / $2,410.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,676.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $2,186.33