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Wyoming rates for HCPCS 58301

Removal of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.54 / $818.54 / $1,440.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.34 / $601.35 / $3,285.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $185.00 / $311.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $126.66 / $217.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.05 / $225.79 / $376.21