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New Jersey rates for HCPCS J7298

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.20 / $1,712.63 / $3,838.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,214.63
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.80 / $1,311.80 / $1,311.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.23 / $1,238.93 / $1,385.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,238.93
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.77 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.73 / $1,238.93 / $1,238.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,457.56