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North Dakota rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $141.25 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $125.89 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $239.88 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $251.19 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $144.54 / $281.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $263.03 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,344.23 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $169.82 / $281.84