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Ohio rates for HCPCS 58300

Insertion Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.78 / $1,179.50 / $6,048.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.34 / $93.50 / $214.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.50 / $99.07 / $131.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.00 / $1,927.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.15 / $88.65 / $150.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.80 / $59.75 / $71.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.98 / $128.79 / $224.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.31 / $100.00 / $169.54
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.41 / $695.55 / $3,691.51
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.75 / $100.93 / $170.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.14 / $78.82 / $152.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $1,017.00 / $3,398.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.76 / $110.00 / $187.66