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Georgia rates for HCPCS 59121

Tx Ectopic Pregnancy W/O Salping&/Oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.86 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.73 / $793.94 / $2,093.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.18 / $5,523.39 / $14,965.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.83 / $1,139.53 / $2,138.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.46 / $1,269.58 / $2,142.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.83 / $1,057.98 / $1,392.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,351.00 / $8,836.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.59 / $1,173.56 / $1,869.67