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Iowa rates for HCPCS 58740

Lysis Of Adhesions Salpinx/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,393.00 / $5,549.00 / $10,506.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.26 / $1,405.57 / $2,356.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.41 / $1,985.57 / $6,306.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.19 / $1,986.89 / $2,652.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,732.00 / $8,342.00