go back

Rhode Island rates for HCPCS 58301

Removal Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.84 / $1,216.95 / $3,706.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.88 / $98.02 / $163.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $128.16 / $161.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.79 / $137.87 / $208.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,183.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.02 / $144.86 / $223.64