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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
$93.96 / $2,220.11 / $6,872.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.61 / $96.77 / $170.46
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.86 / $161.55 / $303.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.33 / $130.05 / $274.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.59 / $165.90 / $202.98
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.51 / $1,312.55 / $1,501.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.51 / $99.18 / $171.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.01 / $140.30 / $234.34