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
Wisconsin
Hospital Address Code Price Last Updated
Aspirus Medford Hospital 135 S Gibson St, Medford J7301 $1,019 [source] 4 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage J7301 $1,019 [source] 4 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids J7301 $1,019 [source] 4 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, J7301 $1,019 [source] 4 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo J7301 $1,019 [source] 4 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau J7301 $1,019 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton J7301 $1,145 [source] 4 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee J7301 $1,660 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee J7301 $1,660 [source] 4 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand J7301 $2,142 [source] 4 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee J7301 $2,470 [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 ยง180.