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New Jersey rates for HCPCS 58301

Removal of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $2,884.03 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $131.83 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $107.15 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $128.82 / $316.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $134.90 / $213.80
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $977.24 / $1,548.82
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $107.15 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,884.03 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $107.15 / $177.83