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Tennessee rates for HCPCS J7298

Levonorgestrel-Releasing Intrauterine Contraceptive System (Mirena) 52 Mg (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.91 / $1,579.02 / $2,514.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,579.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.15 / $1,388.15 / $1,388.15
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.68 / $2,915.12 / $5,205.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,238.93