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Louisiana 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
$762.00 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.19 / $949.31 / $1,084.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,259.97 / $6,221.70 / $11,398.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.49 / $909.24 / $1,264.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.37 / $912.13 / $1,408.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.84 / $1,017.12 / $1,743.90