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California rates for HCPCS 58301

Removal Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.81 / $2,890.27 / $13,912.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.11 / $166.15 / $445.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.05 / $229.77 / $229.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,505.00 / $9,119.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.17 / $126.15 / $272.08
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.09 / $100.00 / $1,537.76
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.47 / $107.11 / $230.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.55 / $86.92 / $204.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.63 / $112.16 / $276.64
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.64 / $77.73 / $143.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.39 / $113.56 / $197.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $307.24 / $317.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.32 / $852.00 / $921.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.39 / $104.62 / $167.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.14 / $118.45 / $267.72
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.00 / $618.00 / $618.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.49 / $217.49 / $332.90
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.64 / $70.05 / $144.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.00 / $1,533.00 / $6,920.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.72 / $116.40 / $341.59