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Iowa rates for HCPCS 58740

Lysis of adhesions (salpingolysis, ovariolysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $5,248.07 / $7,943.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,479.11 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,995.26 / $6,606.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,041.74 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $4,897.79 / $7,585.78