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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
$148.88 / $1,793.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.06 / $122.08 / $186.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.85 / $85.85 / $660.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.64 / $136.69 / $308.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.81 / $335.72 / $335.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.00 / $762.00 / $6,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.68 / $160.57 / $387.95