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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
$1,445.44 / $4,168.69 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,258.93 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $6,606.93 / $6,606.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,090.30 / $5,623.41
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,258.93 / $1,513.56