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Vermont rates for HCPCS 11976

Removal Implantable Contraceptive Capsules

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.01 / $145.87 / $220.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.61 / $154.19 / $414.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.85 / $210.18 / $414.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.46 / $204.61 / $594.82