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Tennessee 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
$1,100.00 / $2,683.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.80 / $731.90 / $923.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,340.00 / $4,147.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.38 / $983.34 / $1,501.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $1,038.58 / $1,701.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,423.34 / $6,629.63
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,711.36 / $5,892.48 / $7,130.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.61 / $1,128.47 / $1,599.28