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Maine rates for HCPCS 59121

Tx Ectopic Pregnancy W/O Salping&/Oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.12 / $911.24 / $911.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,268.63 / $22,395.57 / $25,253.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.66 / $1,036.24 / $1,575.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.76 / $1,148.44 / $1,734.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.27 / $1,177.50 / $1,806.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.12 / $911.24 / $911.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.03 / $1,121.08 / $1,597.56