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New Hampshire 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
$100.00 / $2,818.91 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.57 / $635.79 / $1,479.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,299.00 / $13,932.60 / $24,290.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.97 / $1,291.86 / $1,880.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.47 / $1,658.06 / $2,456.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.90 / $1,812.99 / $3,010.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.43 / $1,199.58 / $2,412.67
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.34 / $1,024.01 / $1,479.64