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Texas rates for HCPCS 58301

Removal of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,819.70 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $114.82 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $102.33 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $79.43 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $89.13 / $138.04
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $323.59 / $2,187.76
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $138.04 / $194.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $117.49 / $204.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $2,951.21
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $912.01 / $912.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $147.91 / $3,715.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $109.65 / $218.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $190.55 / $288.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $109.65 / $199.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $117.49 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $1,047.13 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $93.33 / $151.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $114.82 / $114.82