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Georgia rates for HCPCS 11976

Removal Implantable Contraceptive Capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $2,760.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.22 / $137.50 / $266.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.64 / $116.64 / $116.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.14 / $2,080.80 / $3,851.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.53 / $157.09 / $277.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.78 / $145.81 / $274.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.45 / $155.13 / $235.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.00 / $2,360.00 / $4,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.30 / $191.22 / $323.02