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Maine rates for HCPCS 59150

Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $891.25 / $1,737.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,023.29 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $977.24 / $1,737.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,071.52 / $1,548.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $10,000.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $2,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,071.52 / $1,698.24