go back

Illinois rates for HCPCS 58301

Removal Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.07 / $563.40 / $4,845.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $116.57 / $251.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.89 / $93.89 / $154.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.65 / $664.54 / $1,545.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.42 / $130.32 / $205.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $463.00 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.34 / $122.04 / $199.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.65 / $162.85 / $349.10
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.45 / $84.77 / $149.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $37.40 / $168.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $900.00 / $3,686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.57 / $138.56 / $220.54