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North Carolina rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.27 / $4,106.51 / $11,986.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.71 / $1,407.00 / $2,465.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,446.44 / $10,899.50