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Michigan rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $134.90 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $131.83 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $138.04 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $144.54 / $416.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $158.49 / $251.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $131.83 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,862.09 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $141.25 / $190.55