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Texas rates for HCPCS 57023

I&D Vaginal Hematoma Non-Obstetrical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $2,236.00 / $7,316.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.45 / $322.02 / $470.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,971.06 / $3,663.85 / $7,791.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.77 / $374.41 / $521.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.41 / $277.41 / $277.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.26 / $1,725.26 / $1,725.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.83 / $425.86 / $652.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,817.20 / $12,000.00 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,307.28 / $2,379.44 / $2,702.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.32 / $395.30 / $674.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.00 / $477.08 / $579.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.70 / $226.70 / $226.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.32 / $400.88 / $816.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.93 / $435.93 / $675.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.97 / $352.49 / $553.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.13 / $303.58 / $419.93