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Idaho rates for HCPCS 59136

Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $977.24 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,388.44 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,380.38 / $1,659.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,258.93 / $2,238.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,412.54 / $1,819.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,230.27 / $2,454.71
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,202.26 / $1,659.59