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California rates for HCPCS 57022

I&D Vaginal Hematoma Obstetrical/Postpartum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.00 / $6,218.00 / $17,380.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.97 / $175.33 / $926.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,759.00 / $4,718.00 / $9,381.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.71 / $265.69 / $510.83
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,487.90
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.55 / $188.93 / $459.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.35 / $1,794.42 / $4,227.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.80 / $228.76 / $619.21
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.18 / $227.90 / $1,685.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.65 / $238.00 / $418.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $673.16 / $6,817.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.32 / $1,349.84 / $1,540.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.11 / $228.48 / $337.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.07 / $235.25 / $500.03
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.96 / $574.96 / $574.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,212.00 / $4,218.00 / $10,979.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.69 / $198.90 / $595.13