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Maryland rates for HCPCS 58301

Removal Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $172.91 / $4,277.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.67 / $109.03 / $421.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.84 / $82.73 / $94.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.39 / $61.39 / $61.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.93 / $115.85 / $221.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.56 / $150.94 / $247.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.33 / $124.60 / $204.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.80 / $130.59 / $161.01