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Missouri rates for HCPCS J7298

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.31 / $1,326.67 / $2,368.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.60 / $1,214.63 / $1,598.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,323.95 / $2,064.87 / $3,196.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.10 / $1,049.24 / $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
$1,214.63 / $1,457.56 / $5,205.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.44 / $1,214.63 / $1,396.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.44 / $1,214.63 / $1,405.33