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Minnesota rates for HCPCS 59121

Tx Ectopic Pregnancy W/O Salping&/Oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.93 / $692.93 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.93 / $692.93 / $1,210.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,363.61 / $5,963.17 / $12,263.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.54 / $2,147.56 / $2,905.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,873.20 / $2,656.42 / $6,390.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,508.48 / $2,561.13 / $3,619.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.77 / $2,428.61 / $5,031.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.07 / $2,272.73 / $3,011.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.89 / $1,543.23 / $5,499.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.66 / $2,008.51 / $3,276.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.01 / $1,765.57 / $3,098.23