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Nationwide rates for HCPCS 11980

Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin)

Facilitymedian $2,570 · 10th–90th $105$7,9430%10%10th90th$2,570Professionalmedian $93 · 10th–90th $50$2630%20%10th90th$93$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$107.15 / $2,691.53 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $93.33 / $269.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $3,715.35 / $9,549.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $102.33 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $275.42 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $109.65 / $223.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $1,071.52 / $3,311.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $93.33 / $169.82