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North Dakota rates for HCPCS J7298

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.42 / $899.42 / $1,214.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.24 / $1,214.63 / $1,214.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.35 / $1,281.74 / $1,298.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.06 / $1,279.82 / $1,298.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.80 / $1,168.36 / $1,446.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.64 / $1,457.56 / $3,643.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,319.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.44 / $1,214.63 / $1,319.15