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Pennsylvania 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
$782.79 / $3,748.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.82 / $787.80 / $1,207.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.88 / $846.67 / $846.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.17 / $1,039.09 / $1,660.95
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.82 / $1,341.76 / $1,341.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $843.35 / $1,805.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $915.90 / $2,055.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.17 / $1,042.78 / $1,720.68
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.13 / $803.71 / $803.71
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.13 / $803.71 / $849.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,222.00 / $3,475.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.08 / $1,024.91 / $1,630.90