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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
$851.14 / $4,897.79 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $794.33 / $1,412.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $18,620.87 / $26,302.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,000.00 / $1,548.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $794.33 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,148.15 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $7,762.47 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $1,380.38