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Tennessee 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
$893.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.53 / $731.31 / $1,207.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,387.00 / $4,235.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.31 / $983.16 / $1,499.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.15 / $1,033.83 / $1,689.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,421.52 / $6,627.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,709.84 / $5,890.96 / $7,127.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.65 / $1,060.58 / $1,597.26