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Montana rates for HCPCS 57023

Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $371.54 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $512.86 / $512.86
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $562.34 / $630.96
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $562.34 / $630.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $426.58 / $549.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $331.13 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $794.33