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Minnesota rates for HCPCS 11976

Removal Implantable Contraceptive Capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.48 / $140.49 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.48 / $139.21 / $230.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.37 / $2,321.31 / $5,564.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.63 / $262.97 / $473.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.44 / $504.05 / $1,212.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.59 / $328.48 / $602.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.94 / $460.82 / $954.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.70 / $304.82 / $566.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.09 / $189.35 / $429.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.79 / $283.88 / $682.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.00 / $2,872.00 / $4,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.20 / $250.12 / $561.39