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North Carolina rates for HCPCS 58291

Vag Hyst > 250 Gm Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.86 / $10,087.00 / $23,128.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.81 / $1,248.02 / $2,214.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.04 / $2,115.96 / $3,078.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.92 / $2,040.01 / $3,195.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.86 / $1,598.34 / $2,592.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.34 / $1,598.34 / $3,145.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $2,222.19 / $3,132.90
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
$1,200.07 / $1,726.61 / $3,440.82
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,040.55 / $10,899.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,936.87 / $8,936.87 / $10,460.48