go back

Missouri rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $2,511.89 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $144.54 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $104.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $141.25 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $147.91 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $158.49 / $275.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $162.18 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $204.17 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,047.13 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $134.90 / $218.78