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New Hampshire rates for HCPCS J7298

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

Facilitymedian $2,455 · 10th–90th $1,259–$4,7860%10%10th90th$2,455Professionalmedian $1,259 · 10th–90th $1,202–$2,1380%50%10th90th$1,259$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,621.81 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,258.93 / $1,258.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,691.53 / $4,677.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,288.25 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,754.23 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,288.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,137.96 / $2,454.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,258.93 / $1,995.26
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,089.30 / $2,818.38