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Oklahoma rates for HCPCS 11976

Removal Implantable Contraceptive Capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,876.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.07 / $132.58 / $145.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,921.57 / $2,984.39 / $4,689.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $121.89 / $185.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.70 / $151.19 / $204.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.40 / $156.41 / $2,180.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.16 / $157.26 / $1,075.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.00 / $1,279.00 / $2,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.82 / $149.77 / $217.08