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Washington, DC 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
$1,017.00 / $3,999.00 / $6,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.58 / $814.58 / $814.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.53 / $980.05 / $1,170.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.95 / $1,090.45 / $2,131.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.62 / $1,874.98 / $1,874.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.44 / $1,204.38 / $2,122.77