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Iowa rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $2,398.83 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $144.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $302.00 / $416.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $177.83 / $316.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $316.23 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $245.47 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $302.00 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,344.23 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $169.82 / $331.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $190.55 / $302.00