go back

Delaware 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
$5,816.00 / $5,816.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.88 / $774.31 / $774.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.96 / $1,024.41 / $1,216.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.50 / $946.01 / $1,860.20