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West Virginia rates for HCPCS 58301

Removal of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.32 / $442.74 / $4,921.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $124.34 / $233.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.08 / $86.51 / $105.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.90 / $232.60 / $234.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.10 / $113.10 / $113.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.89 / $130.85 / $308.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.41 / $590.00 / $3,410.93
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.25 / $149.25 / $149.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.38 / $114.11 / $172.71