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Minnesota rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $125.89 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,570.40 / $5,248.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $263.03 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $537.03 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $331.13 / $602.56
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $512.86 / $1,000.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $316.23 / $562.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $190.55 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $269.15 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,238.72 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $213.80 / $436.52