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North Carolina rates for HCPCS 58263

Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $6,918.31 / $12,022.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,318.26 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $9,549.93 / $14,454.40
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $10,964.78 / $10,964.78