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Nebraska 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
$4,382.00 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.58 / $716.58 / $4,136.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,912.62 / $9,368.37 / $17,586.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.98 / $1,179.51 / $1,572.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.02 / $1,792.03 / $2,311.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.11 / $1,361.50 / $6,627.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.13 / $1,766.92 / $5,890.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,330.00 / $1,792.03 / $2,537.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.76 / $1,766.92 / $2,311.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,111.20 / $2,055.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.92 / $1,626.39 / $1,850.93