go back

Maine rates for HCPCS J7307

Etonogestrel (contraceptive) implant system, including implant and supplies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,863.00 / $3,468.85 / $4,743.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,336.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,755.51 / $3,755.51 / $3,755.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,238.92 / $1,238.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,457.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,238.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,500.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,381.54 / $3,381.54 / $3,643.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,755.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.42 / $1,214.63 / $1,761.21