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Massachusetts rates for HCPCS 58300

Insertion of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.60 / $1,003.78 / $4,037.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.10 / $95.59 / $292.16
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.12 / $742.40 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.51 / $218.07 / $784.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.50 / $74.75 / $146.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $125.10 / $262.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.09 / $142.58 / $315.43
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $104.84 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $125.35 / $185.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.40 / $137.00 / $294.86
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.24 / $678.30 / $5,803.59
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.51 / $154.81 / $358.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,078.00 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.06 / $243.65 / $784.48
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.77 / $170.54 / $955.14
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.85 / $166.49 / $317.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $3,445.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.51 / $176.20 / $493.83