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Wisconsin rates for HCPCS 58300

Insertion Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.92 / $947.00 / $3,840.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.02 / $185.79 / $603.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.12 / $212.87 / $508.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.80 / $72.20 / $72.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.96 / $144.97 / $224.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.37 / $347.50 / $560.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.25 / $173.27 / $376.85
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.02 / $107.97 / $214.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.03 / $143.21 / $2,090.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.83 / $234.18 / $536.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $197.94 / $250.69
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.43 / $105.45 / $214.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.26 / $209.82 / $365.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.57 / $228.57 / $228.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.57 / $260.26 / $822.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.44 / $126.44 / $284.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.24 / $272.52 / $605.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,590.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.35 / $222.18 / $389.47