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Maine rates for HCPCS 59136

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,995.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $18,620.87 / $25,118.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,174.90 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,122.02 / $1,949.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,230.27 / $1,737.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $1,778.28