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North Carolina rates for HCPCS 58553

Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.99 / $2,536.00 / $15,291.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.99 / $1,106.99 / $1,887.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.98 / $1,926.54 / $2,786.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.21 / $1,858.50 / $2,898.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.99 / $1,449.92 / $2,351.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.92 / $1,449.92 / $2,838.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,705.90 / $2,813.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,688.00 / $15,545.00 / $22,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.64 / $1,559.94 / $3,154.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,247.10 / $12,650.00 / $27,770.10
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,000.00 / $9,000.00 / $9,426.45