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Georgia rates for HCPCS 58301

Removal Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.65 / $1,976.00 / $6,465.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $110.55 / $267.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.48 / $158.02 / $198.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.49 / $2,152.57 / $4,143.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.58 / $139.41 / $233.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.87 / $88.20 / $97.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.47 / $132.76 / $232.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.54 / $73.54 / $73.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.31 / $141.81 / $244.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.36 / $117.47 / $160.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.00 / $1,550.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.67 / $133.84 / $234.69