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North Carolina rates for HCPCS 57423

Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.64 / $4,104.14 / $10,924.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.64 / $1,288.91 / $1,915.22
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$149.54 / $180.45 / $322.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,688.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,997.53 / $22,189.40
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$209.28 / $2,105.03 / $2,105.03