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Arkansas rates for HCPCS 11976

Removal Implantable Contraceptive Capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.08 / $1,000.00 / $3,865.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.31 / $121.28 / $195.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.03 / $660.03 / $792.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $136.32 / $191.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.22 / $440.22 / $440.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.94 / $136.32 / $202.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $811.00 / $1,574.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.87 / $157.26 / $263.08