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North Dakota rates for HCPCS 58740

Lysis Of Adhesions Salpinx/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.93 / $888.93 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.93 / $1,187.41 / $2,666.79