go back

Kentucky rates for HCPCS 58740

Lysis Of Adhesions Salpinx/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.13 / $962.54 / $10,152.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,062.90 / $9,565.00 / $21,322.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.33 / $1,171.74 / $1,351.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.00 / $1,030.02 / $1,030.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00