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Tennessee rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,819.70 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $134.90 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $134.90 / $151.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,445.44 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $154.88 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $147.91 / $281.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $1,288.25 / $1,288.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,202.26 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,445.44 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $141.25 / $239.88