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Pennsylvania rates for HCPCS 58300

Insertion of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.50 / $1,426.00 / $5,411.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $92.29 / $259.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.31 / $162.49 / $199.66
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.48 / $691.16 / $19,021.68
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.83 / $75.83 / $86.75
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.82 / $114.00 / $169.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.17 / $97.80 / $173.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.90 / $167.95 / $172.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.22 / $1,783.47 / $4,522.50
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.51 / $682.09 / $12,101.92
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.83 / $75.83 / $96.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.76 / $1,519.00 / $5,526.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.53 / $97.65 / $217.46
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,037.66 / $8,037.66 / $8,037.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $72.30 / $299.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.81 / $99.82 / $173.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.61 / $80.13 / $80.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.61 / $80.13 / $80.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $557.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.15 / $107.82 / $180.72