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Massachusetts rates for HCPCS 59121

Tx Ectopic Pregnancy W/O Salping&/Oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.99 / $806.81 / $1,918.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $3,006.00 / $7,608.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.53 / $1,589.43 / $5,711.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.28 / $1,639.87 / $3,023.82
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.13 / $1,708.52 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.65 / $913.56 / $1,472.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.30 / $2,004.80 / $2,545.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,268.00 / $9,401.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.71 / $1,708.52 / $5,711.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.71 / $1,239.40 / $2,337.04