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Vermont rates for HCPCS 58301

Removal Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,634.06 / $2,634.06 / $2,634.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.25 / $125.65 / $442.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.19 / $932.19 / $938.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.25 / $177.12 / $400.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.94 / $129.37 / $400.44
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.22 / $161.06 / $400.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.83 / $143.60 / $491.49