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Illinois rates for HCPCS J7307

Etonogestrel (contraceptive) implant system, including implant and supplies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.63 / $1,530.44 / $2,932.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.00 / $1,214.63 / $1,560.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.40 / $2,148.42 / $12,058.35
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
$1,214.63 / $1,238.93 / $1,238.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $1,492.70 / $2,164.80
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.29 / $1,240.92 / $1,275.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,372.53