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California rates for HCPCS 11976

Removal Implantable Contraceptive Capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.00 / $4,399.50 / $16,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.44 / $132.58 / $342.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,882.00 / $4,542.00 / $9,244.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.35 / $133.91 / $297.62
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,238.60
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.42 / $137.74 / $281.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.48 / $146.78 / $288.95
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.49 / $119.60 / $204.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.14 / $149.29 / $265.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $417.83 / $442.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.60 / $1,036.24 / $1,215.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.14 / $134.51 / $211.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.69 / $155.12 / $307.99
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.70 / $303.70 / $474.41
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.73 / $129.57 / $189.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,410.00 / $2,761.00 / $7,655.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.28 / $145.93 / $346.71