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Nebraska 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
$5,005.00 / $10,563.53 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.79 / $716.79 / $4,139.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,912.62 / $9,368.37 / $17,586.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.07 / $1,179.66 / $1,572.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.21 / $1,792.26 / $2,313.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.20 / $1,361.90 / $6,629.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.04 / $1,768.82 / $5,892.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.00 / $1,796.94 / $2,539.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.14 / $1,768.82 / $2,313.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,041.90 / $2,055.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.06 / $1,709.05 / $1,851.47