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Kansas 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
$2,757.00 / $6,071.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.62 / $756.62 / $908.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.00 / $3,313.63 / $7,967.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.64 / $1,165.46 / $1,165.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.02 / $1,202.00 / $1,646.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,065.01 / $4,312.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.28 / $1,070.10 / $5,892.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $3,647.00 / $6,988.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.28 / $1,008.07 / $1,470.99