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Utah rates for HCPCS 57022

Incision and drainage of vaginal hematoma; obstetrical/postpartum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,388.44 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $181.97 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $229.09 / $380.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $354.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $4,570.88 / $10,964.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $316.23 / $371.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $288.40 / $371.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $281.84 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $199.53 / $363.08