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Massachusetts rates for HCPCS 58301

Removal of intrauterine device (IUD)

Facilitymedian $794 · 10th–90th $78$3,6310%5%10th90th$794Professionalmedian $138 · 10th–90th $68$3720%10%10th90th$138$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $1,288.25 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $141.25 / $407.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $741.31 / $2,951.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $134.90 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $128.82 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $151.36 / $309.03
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $72.44 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $112.20 / $186.21
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $134.90 / $288.40
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $549.54 / $2,041.74
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $162.18 / $204.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $741.31 / $2,951.21
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $134.90 / $323.59
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $398.11 / $616.60
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $181.97
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,698.24 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $141.25 / $295.12