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Missouri 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
$1,258.00 / $4,470.00 / $10,255.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.91 / $756.51 / $866.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $4,864.00 / $12,691.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.00 / $943.88 / $1,441.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.05 / $1,207.34 / $1,944.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.91 / $1,211.59 / $6,616.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.21 / $1,109.70 / $5,890.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,502.00 / $9,185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.81 / $954.29 / $1,534.54