go back

New Mexico rates for HCPCS J7298

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,580.75 / $1,722.16 / $2,480.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.70 / $1,214.63 / $2,220.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,146.88 / $7,480.00 / $12,827.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.63 / $1,167.80 / $1,576.53
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.72 / $1,457.72 / $1,457.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.79 / $1,238.93 / $1,238.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,238.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,214.63