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Pennsylvania rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $131.83 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $131.83 / $151.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,570.40 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $141.25 / $229.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $251.19
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $181.97 / $269.15
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,479.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,344.23 / $7,762.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $147.91 / $371.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $141.25 / $186.21
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $141.25 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,584.89 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $131.83 / $229.09