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South Dakota rates for HCPCS 58301

Removal Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.76 / $385.41 / $9,295.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.72 / $151.94 / $359.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.35 / $180.12 / $309.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.73 / $150.18 / $247.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.94 / $262.42 / $852.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.50 / $175.91 / $271.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.01 / $188.44 / $257.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.22 / $152.65 / $210.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.33 / $181.24 / $281.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.80 / $152.69 / $253.00