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North Carolina rates for HCPCS 58301

Removal of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.03 / $956.09 / $5,383.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.34 / $110.04 / $263.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.10 / $136.08 / $177.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.51 / $161.05 / $242.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.06 / $132.51 / $231.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.34 / $120.44 / $190.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.44 / $120.44 / $253.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $142.00 / $291.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $136.01 / $288.11
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $317.30 / $317.30
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.32 / $852.00 / $921.68