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Utah rates for HCPCS 58301

Removal Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.12 / $2,773.00 / $4,312.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.23 / $129.83 / $199.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.01 / $117.90 / $204.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.52 / $85.61 / $111.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.57 / $608.26 / $886.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.73 / $144.91 / $183.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.15 / $111.42 / $209.52