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Vermont rates for HCPCS J7298

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,336.09 / $2,086.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,589.05 / $2,956.38 / $3,662.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,238.93
MVP Health Care
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
$1,153.90 / $1,214.63 / $1,287.51