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Oklahoma 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
$1,300.00 / $4,192.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.29 / $649.29 / $867.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,380.40 / $11,665.17 / $18,573.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.73 / $816.08 / $1,229.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.69 / $1,050.76 / $1,243.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.29 / $1,252.00 / $6,698.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.48 / $1,018.70 / $5,892.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.00 / $4,054.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.51 / $908.25 / $1,230.91