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North Carolina rates for HCPCS 58267

Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.56 / $1,587.86 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.13 / $1,058.56 / $1,770.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.13 / $1,792.24 / $2,595.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.03 / $1,721.90 / $2,736.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.56 / $1,347.11 / $2,650.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.11 / $1,347.11 / $2,685.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,469.90 / $2,706.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.47 / $1,446.31 / $2,959.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,922.02 / $8,496.53
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,695.28 / $7,695.28 / $9,013.35