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Montana rates for HCPCS 58300

Insertion of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.50 / $1,826.69 / $1,826.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.71 / $82.33 / $351.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.87 / $147.93 / $174.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.87 / $78.87 / $78.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.87 / $84.97 / $174.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.77 / $128.69 / $133.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.22 / $108.37 / $180.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.08 / $145.08 / $145.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.84 / $150.80 / $274.57