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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
$137.30 / $689.37 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.53 / $115.38 / $201.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.32 / $127.53 / $183.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.76 / $131.59 / $196.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.68 / $128.10 / $212.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $150.47 / $189.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.07 / $781.74 / $973.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.28 / $123.92 / $206.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.85 / $137.00 / $206.61