go back

Montana rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $141.25 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $158.49 / $239.88
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $239.88 / $269.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $239.88 / $269.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $138.04 / $223.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $151.36 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $181.97 / $263.03