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Colorado rates for HCPCS 58740

Lysis of adhesions (salpingolysis, ovariolysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $3,734.00 / $10,651.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,834.00 / $17,487.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.27 / $1,188.70 / $1,485.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.81 / $1,367.29 / $1,757.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,852.00 / $6,090.00 / $14,057.00