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Oklahoma rates for HCPCS 58740

Lysis of adhesions (salpingolysis, ovariolysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,890.45 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $8,317.64 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,548.82 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,951.21 / $5,888.44