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New Mexico 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
$107.86 / $150.94 / $334.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.62 / $145.62 / $232.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.32 / $199.13 / $282.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $104.88 / $293.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.91 / $207.62 / $336.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.19 / $240.60 / $352.88