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Massachusetts rates for HCPCS 11976

Removal Implantable Contraceptive Capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.38 / $2,067.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.17 / $132.58 / $356.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.56 / $1,251.81 / $3,472.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.16 / $210.48 / $661.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.31 / $135.60 / $239.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.84 / $171.59 / $285.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.83 / $186.39 / $376.41
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.49 / $190.20 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.66 / $198.76 / $274.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.05 / $239.67 / $426.20
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.65 / $541.65 / $541.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,600.00 / $7,161.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.69 / $270.25 / $1,036.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,408.00 / $5,683.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.30 / $205.43 / $391.43