go back

Kentucky rates for HCPCS 58740

Lysis of adhesions (salpingolysis, ovariolysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,818.38 / $10,471.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $10,715.19 / $12,882.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,148.15 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,288.25 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,754.23 / $6,309.57