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Utah rates for HCPCS 59121

Tx Ectopic Pregnancy W/O Salping&/Oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.37 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.25 / $934.37 / $1,116.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.45 / $1,122.36 / $1,538.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.43 / $411.20 / $717.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.86 / $1,408.65 / $1,560.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.16 / $898.69 / $1,745.08