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Arkansas rates for HCPCS 59120

Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,412.54 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $870.96 / $1,412.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $4,677.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,174.90 / $1,412.54
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,754.23 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,513.56