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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
$120.23 / $1,000.00 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $104.71 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $93.33 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $489.78 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $112.20 / $169.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $114.82 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $501.19 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $104.71 / $173.78