go back

Michigan 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 / $1,530.43 / $3,064.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.00 / $1,214.63 / $1,588.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.21 / $2,697.39 / $5,033.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.40 / $1,234.10 / $1,666.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.93 / $1,463.48 / $1,530.43
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
$953.51 / $1,238.93 / $1,238.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.63 / $1,457.56 / $3,379.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.38 / $1,237.20 / $1,545.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $1,287.51 / $1,931.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.85 / $1,214.63 / $1,239.04