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North Carolina rates for HCPCS 57415

Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.01 / $2,439.00 / $6,953.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.01 / $233.50 / $427.31
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
$648.76 / $9,496.40 / $16,394.00