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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
$1,202.26 / $1,513.56 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $190.55 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $112.20 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $162.18 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,454.71 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $147.91 / $269.15