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Minnesota rates for HCPCS 58301

Removal Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.76 / $385.41 / $3,459.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.57 / $124.26 / $396.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.30 / $644.79 / $1,278.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.39 / $220.66 / $390.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.05 / $385.80 / $928.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.53 / $264.68 / $457.52
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.16 / $352.72 / $730.79
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.86 / $231.35 / $430.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.30 / $221.02 / $2,086.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.38 / $280.43 / $539.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.90 / $242.98 / $406.90