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North Carolina rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $354.81 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $141.25 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $131.83 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $154.88 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $162.18 / $288.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $229.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $141.25 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,137.96 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $128.82 / $234.42
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,288.25 / $1,288.25
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,202.26