go back

Maine 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
Professional
Modifier
Low / Median / High Price
$716.88 / $866.59 / $1,207.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,268.63 / $22,395.57 / $25,253.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.97 / $1,035.82 / $1,574.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,147.93 / $1,733.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.90 / $1,177.03 / $1,805.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.88 / $910.29 / $1,479.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.02 / $1,099.04 / $1,597.42