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Washington, DC rates for HCPCS 58740

Lysis of adhesions (salpingolysis, ovariolysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $5,495.41 / $7,762.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $912.01 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $5,754.40 / $26,302.68