go back

North Carolina rates for HCPCS J7298

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.17 / $1,977.43 / $3,485.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.79 / $1,336.09 / $2,226.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.93 / $1,821.95 / $3,148.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.15 / $927.15 / $1,238.93
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 / $1,457.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.56 / $1,545.01 / $1,603.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.98 / $923.98 / $923.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,579.02
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.68 / $1,384.68 / $2,915.12