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Idaho rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $125.89 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $691.83 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $190.55 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $151.36 / $229.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $158.49 / $251.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $177.83 / $288.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $2,238.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $194.98 / $302.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $141.25 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,168.69 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $158.49 / $245.47