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Alabama rates for HCPCS 11976

Removal Implantable Contraceptive Capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.59 / $927.00 / $1,768.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $112.75 / $139.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.21 / $719.89 / $968.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.52 / $86.51 / $132.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.15 / $125.01 / $276.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,234.00 / $2,481.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.33 / $134.79 / $164.49