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North Carolina rates for HCPCS 57284

Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.32 / $1,615.00 / $10,924.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.32 / $823.32 / $1,383.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.06 / $1,387.39 / $2,026.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.04 / $1,337.66 / $2,139.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.32 / $1,157.00 / $2,066.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.06 / $1,064.06 / $2,062.55
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,232.90 / $2,105.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.86 / $1,138.86 / $2,296.91
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,425.42 / $10,899.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,033.76 / $6,033.76 / $7,064.18