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Michigan rates for HCPCS 58301

Removal of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.21 / $499.12 / $6,363.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.60 / $98.76 / $187.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $110.28 / $185.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.40 / $263.88 / $357.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $54.06 / $104.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.83 / $84.82 / $93.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.96 / $122.58 / $132.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.89 / $103.57 / $169.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.93 / $272.64 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.53 / $109.00 / $181.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $102.47 / $146.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,428.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.32 / $127.07 / $177.36