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Montana 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 / $787.80 / $866.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.88 / $1,301.88 / $1,301.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.88 / $1,301.88 / $1,301.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.59 / $1,301.88 / $1,339.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.46 / $1,392.95 / $1,480.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.08 / $1,180.73 / $1,703.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.02 / $1,371.52 / $2,277.34