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North Carolina rates for HCPCS 58572

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.00 / $10,544.00 / $18,135.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.30 / $1,587.76 / $2,360.16
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
$5,897.00 / $6,750.87 / $27,770.10