How much does it cost to get an iud mirena (levonorgestrel) removed?

Depends: It depends on the type of clinic you go to. If a clinic is using sliding fee based on your income, you may get a generous discount if you are not a full pay patient. Private practices and obgyn offices who don't operate income based programs will charge you full price, which will be in range of $150 to 200 if no more as they will charge you for the visit itself.