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West Virginia rates for HCPCS J7298

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.09 / $4,191.71 / $5,436.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,457.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.35 / $875.35 / $44,999.55
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 / $1,762.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,228.16 / $3,361.00 / $5,465.84
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.88 / $1,300.88 / $1,300.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,457.56