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Pennsylvania rates for HCPCS 57022

Incision and drainage of vaginal hematoma; obstetrical/postpartum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.00 / $2,747.00 / $8,104.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.71 / $163.54 / $285.05
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.97 / $187.80 / $301.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.19 / $223.64 / $362.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.64 / $286.82 / $286.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.32 / $190.49 / $926.63
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $199.00 / $466.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.44 / $227.36 / $367.53
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.45 / $178.42 / $178.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.12 / $178.42 / $188.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.38 / $213.99 / $353.47