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Arizona rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.00 / $2,300.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $124.20 / $225.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.34 / $976.96 / $1,547.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.16 / $88.73 / $137.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.59 / $131.38 / $202.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.44 / $137.52 / $1,643.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.00 / $146.99 / $1,075.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $2,080.00 / $3,467.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.96 / $141.10 / $198.10