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Louisiana rates for HCPCS 58740

Lysis Of Adhesions Salpinx/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,447.00 / $5,150.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,463.38 / $4,683.18 / $6,743.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00