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West Virginia 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
$737.62 / $737.62 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.88 / $737.62 / $898.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.04 / $996.35 / $1,085.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.92 / $964.92 / $964.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.94 / $935.94 / $935.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.80 / $1,159.49 / $4,449.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.64 / $926.86 / $1,404.76