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CPT 58301 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Removal Intrauterine Device
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Female Genital System

Common Place of Service

11 - Office

22 - On Campus Outpatient Hospital

Common Modifiers

None

UA

AG - Primary physician

Complexity LevelLow
Medicare Fee ScheduleView Medicare rates for 58301
Medicaid Fee ScheduleView Medicaid rates for 58301

National average reimbursement for CPT 58301 by major payers:

bcbs

$125.29

uhc

$132.94

aetna

$144.06

cigna

$115.36

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 58301.

CPT 58301
5 of 25 sample ratesHigher to lower in this preview
  1. Specialty Surgical Center Of North Brunswick, LLC

    Specialty Surgical Center Of N

    NJAmbulatory Surgical Clinic/CenterNPI 1821242488Tax ID 20-8770654

    $1,453.00Published rate
  2. Christopher Raio

    Mercy Medical Center

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-1635088

    $200.41Published rate
  3. Jessica Ortega

    Town Center Orthopaedic Associates, P.C.

    VAMedical Physician AssistantNPI 1396270310Tax ID 54-1383504

    $141.80Published rate
  4. Mario Barrera Del Aguila

    Mcr Health Inc

    FLObstetrics & Gynecology PhysicianNPI 1093237521Tax ID 59-1773262

    $107.80Published rate
  5. Christopher Raio

    St Francis Hospital

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-2050523

    $47.57Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 58301 vs. Other Surgical Procedures on the Female Genital System Codes

The CPT 58301 code is part of the Surgery services used for Surgical Procedures on the Female Genital System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 58301 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
58240-CPTHighRemoval Of Pelvis Contents, Pelvic Exenteration For Gynecologic Malignancy With Total Abdominal Hysterectomy Or Cervicectomy With Or Without Removal Of Tube S With Or Without Removal Of Ovary S With Removal Of Bladder And Ureteral Transplantations And Or Abdominoperineal Resection Of Rectum And Colon And Colostomy Or Any Combination Thereof
58300-CPTLowInsert Birth Control Device, Fitting Insertion And Instructions For Using A Birth Control Device: Diaphragm Cervical Cap Or Iud (Intrauterine Device).
58301-CPTLowRemoval Intrauterine Device
58321-CPTLowArtificial 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 58301. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 58301 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