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Connecticut rates for HCPCS 11976

Removal Implantable Contraceptive Capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.92 / $4,228.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $121.21 / $288.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $10,432.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.90 / $136.69 / $201.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.41 / $179.53 / $287.83
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.03 / $178.86 / $186.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,849.00 / $4,647.00 / $9,338.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.83 / $162.06 / $286.00