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New Jersey rates for HCPCS 58740

Lysis of adhesions (salpingolysis, ovariolysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $8,511.38 / $12,302.69
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $6,606.93 / $10,964.78