go back

Washington, DC rates for HCPCS 58740

Lysis Of Adhesions Salpinx/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,673.00 / $7,007.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.11 / $2,053.25 / $2,053.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00