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New Jersey 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
$988.59 / $6,515.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.92 / $783.38 / $1,377.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.27 / $1,251.95 / $2,307.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.50 / $1,267.31 / $1,538.11
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.10 / $905.69 / $1,628.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.00 / $8,305.00 / $14,121.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.57 / $955.41 / $1,916.61