go back

Arkansas rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $794.33 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $128.82 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $123.03 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $131.83 / $199.53
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $245.47 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $912.01 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $134.90 / $204.17