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California rates for HCPCS 57180

Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.56 / $148.18 / $606.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.96 / $194.64 / $411.12
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.48 / $159.26 / $370.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.85 / $180.00 / $440.14
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.34 / $155.38 / $267.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.41 / $211.91 / $369.12
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.00 / $1,404.16 / $1,656.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.01 / $190.19 / $440.14
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.49 / $376.49 / $574.85
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.34 / $156.83 / $270.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.25 / $188.86 / $545.03