Code: J7301

Description:

Description: Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs

Other Descriptions:

Levonorgestrel-releasing intrauterine contraceptive system, (Skyla), 13.5 mg

LEVONORGESTREL 14 MCG/24 HRS (3 YRS) 13.5 MG INTRAUTERINE DEVICE

Levonorgestrel - Skyla 13.5mg

LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG

LEVONORGESTREL IU 13.5 MG

Related codes:

Code: J7300

PARAGARD IUD

Code: J7302

IUD LEVONORGESTREL SYS 52MG

Code: J7303

Description: Contraceptive supply, hormone containing vaginal ring, each
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs

Code: J7304

Description: Contraceptive supply, hormone containing patch, each
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs

Code: J7306

Description: Levonorgestrel (contraceptive) implant system, including implants and supplies
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs

Code: J7307

NEXPLANON

Code: J7308

Levulan Kerastick/tube

Code: J7309

Description: Methyl aminolevulinate (mal) for topical administration, 16.8%, 1 gram
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs

Maine

Hospital	Address	Code	Price	Last Updated
Eastern Maine Healthcare Systems Inland Hospital	200 Kennedy Memorial Dr, Waterville	J7301	$592 [source]	4 years ago
Northern Light Blue Hill Hospital	57 Water Street, Blue Hill	J7301	$888 [source]	4 years ago
Eastern Maine Medical Center	489 State St, Bangor	J7301	$912 [source]	4 years ago
Mercy Hospital	144 State St, Portland	J7301	$1,377 [source]	4 years ago
Northern Light A.r. Gould Hospital	140 Academy St, Presque Isle	J7301	$1,514 [source]	4 years ago
Charles A Dean Memorial Hospital	364 Pritham Ave, Greenville	J7301	$2,057 [source]	4 years ago
Northern Light Maine Coast Hospital	50 Union St, Ellsworth	J7301	$2,992 [source]	4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR §180.