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Missouri rates for HCPCS 59121

Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $5,560.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.99 / $756.62 / $867.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $4,864.00 / $12,691.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.73 / $947.00 / $1,395.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.09 / $1,208.11 / $1,732.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.99 / $1,226.53 / $6,616.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.03 / $1,110.18 / $5,892.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,502.00 / $9,185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.50 / $930.48 / $1,524.26