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Connecticut rates for HCPCS 58301

Removal of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $3,630.78 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $134.90 / $269.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,162.28 / $10,471.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $154.88 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $147.91 / $245.47
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $223.87
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $154.88 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,890.45 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $125.89 / $239.88