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Indiana rates for HCPCS 57022

I&D Vaginal Hematoma Obstetrical/Postpartum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.80 / $927.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.97 / $178.80 / $212.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.00 / $5,230.00 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.64 / $210.97 / $291.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.81 / $212.60 / $245.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.54 / $188.07 / $245.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.75 / $1,610.75 / $1,610.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.90 / $226.71 / $360.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,870.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.16 / $196.94 / $337.73