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Oklahoma 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
$107.15 / $158.49 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $181.97 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $165.96 / $229.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $199.53 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $144.54 / $208.93