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Rhode Island rates for HCPCS 11976

Removal Implantable Contraceptive Capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.49 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.42 / $108.38 / $145.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.68 / $134.82 / $203.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.74 / $155.68 / $298.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.00 / $2,445.00 / $4,602.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.80 / $185.51 / $270.25