go back

Illinois 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
$1,023.29 / $2,884.03 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $891.25 / $2,238.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $10,964.78 / $21,379.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,380.38 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,202.26 / $1,778.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,380.38 / $3,715.35
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $4,265.80 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,071.52 / $1,819.70