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Washington, DC rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $2,754.23 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $147.91 / $323.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $288.40 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $138.04 / $281.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $208.93 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,737.80 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $134.90 / $288.40