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New York 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
$1,022.33 / $4,683.00 / $10,526.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.82 / $963.22 / $1,822.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,697.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.20 / $840.79 / $2,020.23
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.53 / $1,140.53 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.53 / $1,140.53 / $1,140.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.94 / $935.94 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.17 / $1,456.55 / $3,072.22
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,685.55 / $3,870.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.81 / $1,090.15 / $1,715.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.31 / $866.85 / $1,513.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $935.94 / $7,227.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.15 / $1,578.85 / $3,196.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,735.00 / $25,716.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.42 / $1,093.61 / $2,480.12
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.73 / $880.73 / $2,611.01
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.31 / $880.73 / $1,710.97