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Wisconsin rates for HCPCS 11976

Removal, implantable contraceptive capsules

Facilitymedian $2,818 · 10th–90th $245$5,6230%10%10th90th$2,818Professionalmedian $170 · 10th–90th $85$3980%5%10th90th$170$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $331.13 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $138.04 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $257.04 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $446.68 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $204.17 / $380.19
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $263.03 / $3,388.44
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $263.03 / $416.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $263.03 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $251.19 / $676.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $275.42
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $2,951.21 / $3,235.94
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $323.59 / $416.87
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $269.15 / $478.63
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $1,288.25 / $1,288.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $177.83 / $1,047.13
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $269.15
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $389.05 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,754.23 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $181.97 / $457.09