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Oklahoma rates for HCPCS 58740

Lysis Of Adhesions Salpinx/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $4,728.00 / $14,100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,700.24 / $8,851.79 / $13,909.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.33 / $1,290.50 / $5,880.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.00 / $2,900.00 / $5,543.93