go back

Florida 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
$740.29 / $6,024.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.37 / $728.98 / $963.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.82 / $1,068.97 / $1,690.36
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.87 / $630.92 / $1,109.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.51 / $558.80 / $1,030.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.00 / $8,136.00 / $12,748.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.38 / $984.43 / $1,827.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.40 / $630.40 / $630.40