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Michigan rates for HCPCS 57022

Incision and drainage of vaginal hematoma; obstetrical/postpartum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.10 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.97 / $213.97 / $224.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.73 / $1,037.42 / $1,413.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.71 / $170.55 / $354.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.65 / $200.04 / $373.22
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.28 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.28 / $200.38 / $262.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.81 / $155.78 / $226.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.00 / $4,857.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.88 / $224.38 / $282.75