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Idaho 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
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.72 / $897.29 / $1,116.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.08 / $1,346.65 / $1,503.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.74 / $1,148.53 / $1,432.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.76 / $1,374.76 / $1,597.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,096.25 / $1,379.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.93 / $949.93 / $1,374.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.83 / $1,101.24 / $1,669.93