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Pennsylvania rates for HCPCS 59130

Tx Ectopic Pregnancy Abdl Pregnancy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.87 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.40 / $868.84 / $1,134.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.74 / $983.50 / $983.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.42 / $1,181.00 / $1,852.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.35 / $1,558.06 / $1,558.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.40 / $944.30 / $2,469.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,069.09 / $2,378.69
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.42 / $1,181.00 / $1,926.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.67 / $934.03 / $934.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.67 / $934.03 / $986.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.27 / $1,108.16 / $1,902.53