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Kansas rates for HCPCS 58740

Lysis of adhesions (salpingolysis, ovariolysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $5,623.41 / $10,471.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $1,318.26 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,089.30 / $4,677.35