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Indiana 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
$712.72 / $1,386.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.77 / $716.88 / $861.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $15,450.00 / $23,392.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.52 / $1,001.00 / $1,381.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.00 / $927.85 / $1,070.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.73 / $856.48 / $1,070.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.52 / $960.47 / $1,663.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.86 / $931.41 / $1,364.07