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Massachusetts rates for HCPCS 58301

Removal Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.45 / $1,005.16 / $3,103.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.40 / $144.13 / $369.71
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.83 / $640.30 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.19 / $171.04 / $852.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.84 / $97.31 / $171.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.15 / $162.85 / $238.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $176.26 / $322.80
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.30 / $221.45 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.04 / $125.03 / $201.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.13 / $179.05 / $297.58
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.98 / $536.41 / $4,784.74
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.02 / $161.00 / $360.90
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,078.00 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.83 / $252.19 / $852.00
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.92 / $229.72 / $505.74
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.10 / $132.10 / $186.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.93 / $160.85 / $328.63