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Rhode Island rates for HCPCS J7298

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.90 / $2,453.57 / $4,737.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,267.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.93 / $1,287.51 / $1,360.39
BCBS
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
$1,238.93 / $1,238.93 / $1,238.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,238.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,214.63