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New York rates for HCPCS 58740

Lysis of adhesions (salpingolysis, ovariolysis)

Facilitymedian $5,888 · 10th–90th $1,380$12,3030%10%10th90th$5,888$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $5,248.07 / $11,748.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $4,786.30 / $53,703.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,071.52 / $3,235.94
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,981.07 / $8,709.64
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,023.29 / $2,951.21