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Ohio 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
$981.24 / $5,217.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.88 / $659.88 / $1,742.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,426.00 / $12,098.50 / $21,233.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.15 / $874.70 / $1,526.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.47 / $935.36 / $1,157.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.64 / $857.42 / $857.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.82 / $1,091.25 / $1,636.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.14 / $1,135.47 / $1,638.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.63 / $571.00 / $1,026.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,998.00 / $7,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.48 / $1,043.23 / $1,723.83