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New Hampshire rates for HCPCS 58301

Removal Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.51 / $355.66 / $5,655.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.68 / $102.79 / $249.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.06 / $104.96 / $216.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.29 / $115.57 / $204.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.49 / $186.93 / $319.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.54 / $184.21 / $374.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.57 / $178.50 / $308.12
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.41 / $112.10 / $159.50