go back

Massachusetts rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $2,089.30 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $158.49 / $380.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,288.25 / $3,801.89
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $169.82 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $165.96 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $177.83 / $354.81
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $177.83 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $194.98 / $288.40
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,511.89 / $7,079.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $177.83 / $380.19
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,288.25 / $3,801.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $169.82 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,344.23 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $177.83 / $338.84