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Minnesota rates for HCPCS 58740

Lysis Of Adhesions Salpinx/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$811.04 / $811.04 / $6,781.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,835.06 / $8,480.52 / $18,388.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,149.46 / $3,048.20 / $7,332.85
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.35 / $2,786.78 / $5,773.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.56 / $1,531.60 / $4,746.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00