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Nebraska rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.15 / $4,241.22 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.31 / $133.19 / $489.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,442.56 / $3,212.63 / $6,214.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.75 / $166.69 / $267.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.49 / $282.12 / $418.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.37 / $233.08 / $1,172.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.86 / $301.02 / $1,075.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.22 / $242.00 / $366.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.68 / $267.86 / $383.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.86 / $301.02 / $344.03