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Louisiana rates for HCPCS 58301

Removal of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.70 / $973.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.67 / $108.63 / $163.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.61 / $73.66 / $138.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.29 / $492.84 / $730.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.70 / $121.30 / $170.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.30 / $115.78 / $182.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.49 / $136.59 / $209.24