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Washington, DC rates for HCPCS 58301

Removal Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.05 / $1,341.00 / $3,175.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.28 / $94.82 / $188.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.84 / $82.73 / $660.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.69 / $105.90 / $251.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.72 / $256.64 / $256.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.27 / $150.91 / $297.88