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South Carolina rates for HCPCS 58301

Removal Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.84 / $441.96 / $8,464.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.29 / $120.85 / $323.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $109.91 / $178.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.80 / $382.44 / $697.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.40 / $85.03 / $136.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.08 / $74.08 / $95.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $118.48 / $212.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.08 / $120.85 / $188.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.47 / $65.54 / $100.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.31 / $112.28 / $174.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.27 / $134.66 / $241.67