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Louisiana rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $141.25 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,000.00 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $138.04 / $165.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $134.90 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,047.13 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $125.89 / $208.93