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Cost Estimator
ESTIMATE FOR
REMOVAL OF ETONOGESTREL IMPLANT SYSTEM
CPT: 11982 
at Fountain Green Medical Clinic
using Cash - No Insurance
10/31/2024 6:03 PM
Fountain Green Medical Clinic Estimate
Patient portion estimate
$180.00*
Facility fee
$180.00
3rd party fees
Billed separately
*You may receive bills from any 3rd party providers involved with this procedure.
Pay In Full
$162.00
10% OFF for 30 days
2 Month Plan
$90.00
This estimate covers only the fees from Fountain Green Medical Clinic and may not include any 3rd party fees you may incur.
To schedule or ask a question
Call (435) 445-3301
Cost Detail
Total starting charges
$180.00
Cash Discount
$0.00
Total Estimated Patient Portion
$180.00

This price estimate, including payment options, is based on the selections you made and compared to what the expected charges will be for those services. This is just an estimate; actual costs can change based on complications, supplies/equipment/medication used, etc. Estimates with insurance factored in are based on your coverage at the time the estimate was given, which coverage may be different at the time of service. Please check with your insurance provider or with our Billing team prior to being seen for an updated estimate. See the complete Price Estimator Disclaimer below for more details.

Cost data updated 1/2/2023 8:44 AM