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Connecticut rates for HCPCS 58301

Removal Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.64 / $3,839.20 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.29 / $134.41 / $280.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $11,797.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.49 / $160.40 / $234.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.90 / $158.44 / $253.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.08 / $182.39 / $182.39
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.47 / $1,284.47 / $1,284.47
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.49 / $205.07 / $206.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.00 / $3,983.00 / $6,832.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.77 / $160.87 / $298.31