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Pennsylvania rates for HCPCS 57023

I&D Vaginal Hematoma Non-Obstetrical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,422.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.99 / $294.05 / $396.31
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.30 / $331.35 / $515.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.23 / $407.04 / $646.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.30 / $502.79 / $502.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,806.74 / $1,806.74 / $1,806.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,422.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.70 / $348.06 / $1,544.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $199.00 / $815.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.70 / $410.68 / $653.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.33 / $314.82 / $314.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.33 / $314.82 / $331.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.74 / $403.28 / $674.77