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South Carolina rates for HCPCS 57022

I&D Vaginal Hematoma Obstetrical/Postpartum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.38 / $5,621.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.28 / $200.38 / $286.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.59 / $2,888.20 / $4,989.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.03 / $200.11 / $347.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.27 / $1,529.27 / $1,965.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.96 / $230.28 / $432.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.77 / $225.00 / $370.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.33 / $1,353.04 / $1,606.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.59 / $170.91 / $261.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.87 / $236.82 / $425.02