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Michigan rates for HCPCS 58300

Insertion Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.47 / $942.73 / $5,245.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.53 / $76.56 / $152.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.01 / $106.58 / $180.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.17 / $1,139.48 / $1,552.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.48 / $48.18 / $74.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.80 / $64.53 / $71.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.96 / $122.58 / $129.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.56 / $82.49 / $164.98
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.57 / $820.64 / $5,071.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.79 / $82.65 / $158.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.10 / $100.14 / $150.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,247.00 / $1,844.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.62 / $106.03 / $220.36