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North Carolina rates for HCPCS 58925

Ovarian cystectomy, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.09 / $7,629.02 / $11,986.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.77 / $993.00 / $1,897.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,000.24 / $10,899.50