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North Dakota rates for HCPCS 58301

Removal of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $977.24 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $144.54 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $169.82 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $162.18 / $288.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $154.88 / $602.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $169.82 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $125.89 / $218.78