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See a sample rate comparisonCPT 58300 Fee Schedule
CPT 58300 is classified under Surgery, in the Surgical Procedures on the Female Genital System subgroup.
Insert Birth Control Device, Fitting Insertion And Instructions For Using A Birth Control Device: Diaphragm Cervical Cap Or Iud (Intrauterine Device).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | AG - Primary physician UA |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 58300 |
| Medicaid Fee Schedule | $68.905 median of the 8 states in the free preview · View Medicaid rates for 58300 |
National average reimbursement for CPT 58300 by major payers:
$112.62
BCBS / Anthem
$113.86
UnitedHealthcare
$130.82
Aetna
$91.45
Cigna
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CPT 58300
5 of 25 sample ratesHigher to lower in this preview
John Eggers
$313.70Published rateNatalia Babkina
Rady Childrens Hospital-San Diego
$184.69Published rateNatalia Miranda
$144.19Published rateCarla Burkley
Mainehealth
$118.33Published rateRoy Beaty
$57.22Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 58300 vs. Other Surgical Procedures on the Female Genital System Codes
The table lists codes related to 58300. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 58300-CPT | Low | Insert Birth Control Device, Fitting Insertion And Instructions For Using A Birth Control Device: Diaphragm Cervical Cap Or Iud (Intrauterine Device). |
| 58301-CPT | Low | Removal Intrauterine Device |
| 58321-CPT | Low | Artificial Insemination, Artificial Insemination Is A Procedure That Places Sperm Into The Uterus To Increase The Likelihood Of Becoming Pregnant. |
| 58322-CPT | Low | Artificial Insemination, Artificial Insemination Is A Procedure That Places Sperm Into The Uterus To Increase The Likelihood Of Becoming Pregnant. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58300. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58300 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
CPT 58300 is a code utilized within Surgery services for Surgical Procedures on the Female Genital System, indicative of a moderate-complexity encounter. This code requires more provider time and moderate medical decision-making compared to lower-level codes that involve less time and simpler assessments. Encounters coded with 58300 typically include multiple diagnoses, medication management, or test interpretation, resulting in higher reimbursement and more extensive documentation requirements. For specific fee schedules and reimbursement details based on your location and CPT code, you can use Payerprice's fee schedule lookup tool.