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Minnesota rates for HCPCS 58740

Lysis of adhesions (salpingolysis, ovariolysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $7,079.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $11,481.54 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,235.94 / $7,585.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,090.30 / $6,025.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $4,677.35 / $8,912.51