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Louisiana rates for HCPCS 59121

Tx Ectopic Pregnancy W/O Salping&/Oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,418.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.47 / $951.02 / $1,086.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,242.47 / $5,938.36 / $10,923.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.13 / $909.91 / $1,265.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.79 / $918.30 / $1,411.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.75 / $1,032.22 / $1,747.05