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Alaska rates for HCPCS 59121

Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,330.75 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.25 / $3,829.81 / $4,139.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,666.84 / $2,666.84 / $2,666.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.94 / $3,829.81 / $5,476.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.60 / $5,184.89 / $6,429.22
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,600.85 / $3,580.05 / $5,029.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.94 / $3,829.81 / $5,476.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.83 / $3,096.25 / $5,144.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,094.08 / $2,133.48 / $5,960.63