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Alaska rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $141.25 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $467.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $128.82 / $691.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $316.23 / $467.74
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $389.05 / $616.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $141.25 / $691.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $177.83 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $407.38