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Connecticut rates for HCPCS 59121

Tx Ectopic Pregnancy W/O Salping&/Oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,522.00 / $7,629.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.94 / $1,184.53 / $2,113.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,755.84 / $15,054.00 / $18,574.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.56 / $1,634.33 / $1,975.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.46 / $1,126.20 / $2,012.12
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.83 / $1,382.10 / $1,382.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,325.00 / $8,250.00 / $11,880.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.83 / $1,132.63 / $1,965.22