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Indiana 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
$933.25 / $2,344.23 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $870.96 / $1,380.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $18,620.87 / $26,302.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $1,737.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $870.96 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,288.25 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $5,754.40 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,000.00 / $1,548.82