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New Hampshire rates for HCPCS 59121

Tx Ectopic Pregnancy W/O Salping&/Oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,829.79 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.12 / $514.12 / $2,829.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,299.00 / $13,932.60 / $24,290.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.66 / $1,292.39 / $1,881.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.67 / $1,657.89 / $2,456.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.27 / $1,813.73 / $3,011.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.77 / $1,429.59 / $2,415.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.60 / $923.56 / $1,175.44