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Delaware rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $151.36 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $229.09 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $134.90 / $194.98
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $125.89 / $218.78