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Tennessee rates for HCPCS 58301

Removal of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.58 / $1,285.44 / $5,978.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.53 / $120.10 / $396.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.22 / $88.22 / $130.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.00 / $1,364.00 / $2,065.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.48 / $107.71 / $177.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.72 / $119.09 / $195.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $317.30 / $317.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.32 / $852.00 / $921.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.37 / $137.30 / $216.20