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Wyoming rates for HCPCS J7298

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.67 / $2,042.67 / $2,042.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.24 / $1,061.98 / $1,235.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.93 / $1,457.56 / $1,457.56
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