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Nebraska rates for HCPCS 58301

Removal Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.08 / $2,166.29 / $12,036.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.33 / $153.87 / $213.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.01 / $99.92 / $169.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,608.94 / $2,180.53 / $4,093.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.53 / $122.72 / $207.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.35 / $204.40 / $309.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.92 / $166.81 / $810.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.80 / $233.77 / $852.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.02 / $201.80 / $274.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.07 / $191.26 / $274.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $133.10 / $291.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.41 / $222.09 / $263.72