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Wisconsin rates for HCPCS 59140

Tx Ectopic Pregnancy Cervical W/Evacuation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.39 / $816.95 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.79 / $476.39 / $1,255.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $11,015.00 / $15,810.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.08 / $978.57 / $1,730.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.89 / $1,215.20 / $1,960.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.79 / $1,186.65 / $1,374.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.71 / $557.38 / $1,648.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.71 / $1,648.05 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.55 / $964.84 / $1,892.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.30 / $314.21 / $873.78
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.71 / $621.57 / $1,648.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.60 / $1,136.08 / $1,435.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.50 / $4,217.50 / $4,217.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.30 / $2,185.58 / $3,074.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.09 / $743.09 / $743.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.79 / $1,250.79 / $2,160.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.23 / $956.62 / $1,655.30