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Texas rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,187.76 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $131.83 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $131.83 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $114.82 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $114.82 / $181.97
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $128.82 / $199.53
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $154.88 / $245.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $151.36 / $234.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $1,288.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,202.26 / $1,202.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $165.96 / $2,951.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $141.25 / $269.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $134.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $134.90 / $213.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $154.88 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,698.24 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $125.89 / $190.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25