Intrauterine device removal

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HB Remove Intrauterine Device

Payers reporting CPT 58301

Payer pricing summary

Low

$127

Average

$1.1k

Median

$474

High

$12.7k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +42 other terms	573	$336	$1.1k	$2.1k	202%	77–113	$1 – $21.3k
2	UnitedHealthcare fee schedule · outpatient · +42 other terms	664	$305	$790	$1.9k	236%	62–206	$1 – $17.9k
3	Bcbs Al facility · other · outpatient · +5 other terms	5	$272	$251	$51	21%	38–92	$197 – $340
4	Cigna case rate · outpatient · +37 other terms	359	$3.1k	$4.6k	$6.0k	131%	10–100	$1 – $40.7k
5	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	456	$336	$818	$1.9k	232%	4–40	$0 – $24.3k
6	Molina fee schedule · outpatient · +34 other terms	257	$238	$271	$675	249%	4–40	$1 – $6.5k
7	Humana fee schedule · outpatient · +33 other terms	437	$295	$349	$745	214%	3–30	$1 – $12.8k
8	Premera professional · fee schedule · outpatient · +20 other terms	22	$69	$73	$38	53%	3–30	$33 – $211
9	Kaiser fee schedule · outpatient · +28 other terms	107	$387	$465	$595	128%	2–20	$5 – $4.3k
10	Ucare professional · fee schedule · outpatient · +22 other terms	36	$43	$41	$20	50%	2–20	$9 – $158
11	Bcbs Mt fee schedule · outpatient · +1 other terms	1	$698	$698	—	—	2–20	$698 – $698
12	Anthem fee schedule · outpatient · +35 other terms	145	$289	$345	$703	204%	1–10	$38 – $6.3k
13	Ambetter fee schedule · outpatient · +23 other terms	96	$477	$424	$319	75%	1–10	$25 – $2.3k
14	Regence professional · fee schedule · outpatient · +24 other terms	47	$86	$120	$86	72%	1–10	$26 – $348
15	Medica fee schedule · outpatient · +24 other terms	43	$191	$225	$152	68%	1–10	$22 – $731
16	Bcbs La fee schedule · outpatient · +3 other terms	23	$554	$560	$194	35%	1–10	$62 – $863
17	Bcbs Id fee schedule · outpatient · +7 other terms	5	$628	$556	$176	32%	1–10	$343 – $773
18	Bcbs Ks fee schedule · outpatient · +7 other terms	3	$59	$166	$152	91%	1–10	$58 – $380
19	WellCare fee schedule · outpatient · +27 other terms	208	$314	$351	$483	137%	—	$24 – $4.3k
20	Oscar case rate · outpatient · +25 other terms	136	$2.6k	$2.7k	$676	25%	—	$476 – $7.5k
21	MultiPlan fee schedule · outpatient · +24 other terms	103	$315	$418	$151	36%	—	$43 – $991
22	Devoted facility · fee schedule · outpatient · +23 other terms	100	$308	$402	$641	160%	—	$32 – $4.9k
23	Aetna Better Health fee schedule · outpatient · +23 other terms	87	$65	$116	$135	116%	—	$51 – $1.1k
24	Caresource fee schedule · outpatient · +24 other terms	78	$232	$301	$588	195%	—	$1 – $4.3k
25	Highmark facility · fee schedule · outpatient · +24 other terms	75	$350	$406	$491	121%	—	$18 – $3.5k

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