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North Carolina rates for HCPCS 58294

Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.84 / $1,900.53 / $12,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.84 / $1,204.84 / $2,039.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.09 / $2,069.64 / $2,998.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.21 / $1,992.63 / $3,125.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.84 / $1,557.82 / $2,522.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.82 / $1,557.82 / $3,078.59
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,816.20 / $3,067.50
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
$1,173.80 / $1,674.69 / $3,367.73
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,870.38 / $10,899.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,747.12 / $8,747.12 / $10,239.98