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New Hampshire rates for HCPCS 58301

Removal of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $630.96 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $128.82 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $125.89 / $295.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $114.82 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $151.36 / $275.42
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $134.90 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $141.25 / $275.42