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South Carolina rates for HCPCS 11976

Removal Implantable Contraceptive Capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.44 / $2,223.44 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.07 / $132.58 / $230.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.24 / $236.24 / $236.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.30 / $1,146.51 / $1,765.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.62 / $165.00 / $217.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.52 / $119.52 / $119.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.66 / $136.08 / $198.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.05 / $142.04 / $206.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.68 / $121.68 / $121.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.90 / $131.76 / $180.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.00 / $3,866.00 / $6,584.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.05 / $138.96 / $243.18