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Oklahoma rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $125.89 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,818.38 / $4,466.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $114.82 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $151.36 / $204.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $165.96 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,318.26 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $120.23 / $169.82