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North Carolina rates for HCPCS 58956

Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,335.80 / $1,615.00 / $7,439.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.47 / $1,927.92 / $2,775.51
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$179.69 / $278.89 / $472.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $11,359.17 / $13,949.82
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$307.42 / $670.20 / $670.20