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Illinois rates for HCPCS 59121

Tx Ectopic Pregnancy W/O Salping&/Oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.78 / $2,745.27 / $5,580.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.70 / $861.78 / $1,513.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,180.89 / $11,082.16 / $22,192.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.90 / $1,371.92 / $1,520.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.12 / $1,261.77 / $1,767.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.50 / $1,407.70 / $3,945.71
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.01 / $1,070.13 / $1,215.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,401.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $4,803.00 / $8,995.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.65 / $1,128.94 / $1,895.28