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Indiana rates for HCPCS 59121

Tx Ectopic Pregnancy W/O Salping&/Oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.92 / $1,386.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.98 / $712.92 / $861.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $15,450.00 / $23,392.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.81 / $1,016.67 / $1,403.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.20 / $928.10 / $1,070.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.92 / $856.70 / $1,070.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.14 / $941.15 / $1,675.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.65 / $932.48 / $1,392.08