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Maryland rates for HCPCS 59121

Tx Ectopic Pregnancy W/O Salping&/Oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.96 / $814.26 / $1,077.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.00 / $980.52 / $1,120.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.24 / $1,054.01 / $2,137.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.87 / $1,151.60 / $1,837.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $960.69 / $1,670.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.10 / $995.75 / $1,206.59