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North Carolina rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.86 / $4,841.28 / $10,690.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.86 / $1,151.19 / $1,907.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.48 / $1,952.64 / $2,836.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.52 / $1,883.43 / $2,954.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.86 / $1,472.09 / $2,387.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.09 / $1,472.09 / $2,906.39
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,693.40 / $2,901.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.85 / $1,593.04 / $3,183.93
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,445.90 / $16,298.90
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,273.92 / $8,273.92 / $9,690.37