go back

North Carolina rates for HCPCS 58554

Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,006.95 / $8,718.00 / $14,615.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.76 / $1,675.09 / $2,695.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,688.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,437.17 / $12,650.00 / $27,770.10