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Wyoming rates for HCPCS 59121

Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $707.95 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,513.56 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,348.96 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,621.81 / $2,818.38