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Idaho rates for HCPCS 58301

Removal of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $691.83 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $128.82 / $229.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $338.84 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $177.83 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $117.49 / $186.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $169.82 / $1,862.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $128.82 / $218.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,023.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $125.89 / $181.97
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $125.89 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $117.49 / $177.83