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Michigan rates for HCPCS 11976

Removal Implantable Contraceptive Capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.63 / $169.17 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.75 / $124.20 / $169.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.85 / $1,100.08 / $1,490.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $85.91 / $185.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.48 / $133.38 / $371.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.63 / $669.70 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.44 / $147.63 / $219.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.81 / $135.75 / $190.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $3,005.00 / $4,594.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.50 / $164.90 / $229.89