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North Carolina rates for HCPCS 57295

Revision (including removal) of prosthetic vaginal graft; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.47 / $3,508.79 / $7,724.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.47 / $698.86 / $1,014.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,857.96 / $9,496.40