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Utah rates for HCPCS J7307

Etongestrel (Contraceptive) Implant System. Including Implant And Supplies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.63 / $1,392.91 / $1,759.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.27 / $1,196.00 / $3,444.80
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $1,452.68 / $1,579.01
Regence BlueShield
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