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Indiana rates for HCPCS 58301

Removal of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.93 / $3,038.33 / $8,676.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.58 / $99.55 / $182.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.95 / $89.23 / $156.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $3,896.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.44 / $95.81 / $176.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.29 / $77.08 / $91.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.06 / $113.09 / $142.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.02 / $78.02 / $78.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $112.83 / $212.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.54 / $112.37 / $178.25