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New Mexico rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $234.42 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $141.25 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,041.74 / $3,388.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $141.25 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $154.88 / $234.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $41.69 / $218.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $141.25 / $218.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $162.18 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $2,511.89 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $165.96 / $251.19