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West Virginia rates for HCPCS 11976

Removal, implantable contraceptive capsules

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,862.09 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $134.90 / $302.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $120.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $158.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $138.04 / $831.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,041.74 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $131.83 / $208.93