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Mississippi rates for HCPCS 11976

Removal Implantable Contraceptive Capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.10 / $784.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $124.20 / $204.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.53 / $359.53 / $1,005.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.00 / $229.00 / $229.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.62 / $75.62 / $658.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.47 / $144.32 / $270.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $858.00 / $1,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.81 / $157.19 / $366.77