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North Carolina rates for HCPCS 57296

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.91 / $1,421.14 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.43 / $947.91 / $1,594.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.61 / $1,613.15 / $2,332.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.90 / $1,535.08 / $2,475.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.91 / $1,338.96 / $1,959.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.15 / $1,216.15 / $2,369.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,843.40 / $2,421.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.90 / $1,282.36 / $2,597.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,203.75 / $7,613.41
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,328.64 / $8,328.64 / $8,328.64