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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.57 / $772.49 / $4,139.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.79 / $859.74 / $1,074.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.02 / $962.31 / $1,729.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.03 / $967.33 / $6,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.12 / $917.28 / $5,892.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,878.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.36 / $858.24 / $1,574.31