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Alaska rates for HCPCS 58301

Removal of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.30 / $2,017.98 / $9,577.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.25 / $220.46 / $582.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.63 / $232.63 / $329.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.12 / $447.22 / $705.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.13 / $415.80 / $725.62
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.30 / $410.00 / $585.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.12 / $447.22 / $705.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.46 / $355.20 / $559.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.74 / $395.37 / $569.79