HCPCS Q9984

Levonorgestrel-releasing intrauterine contraceptive system (kyleena), 19.5 mg

Retired code5 hospitals with prices

Description from CMS's HCPCS Level II code file.

This code is retired. Some hospitals still list it. CMS replaced it with HCPCS J7296.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS Q9984 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
PeaceHealth Peace Island Medical CenterFriday Harbor	—	$2,767	$4,257
PeaceHealth Southwest Medical CenteVancouver	—	$2,767	$4,257
PeaceHealth St John Medical CenterLongview	—	$2,767	$4,257
PeaceHealth St Joseph Medical CenterBellingham	—	$2,767	$4,257
PeaceHealth United General Medical CenterSedro Woolley	—	$2,767	$4,257

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.