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North Carolina rates for HCPCS 58200

Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.31 / $2,149.33 / $15,291.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.31 / $1,889.00 / $3,339.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $11,269.71 / $13,837.50