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Utah rates for HCPCS 57022

I&D Vaginal Hematoma Obstetrical/Postpartum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.40 / $3,064.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.64 / $217.40 / $316.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.15 / $251.67 / $339.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.31 / $129.38 / $164.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,952.73 / $5,387.63 / $7,851.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $291.27 / $365.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.18 / $195.61 / $367.21