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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
$123.52 / $201.73 / $203.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.06 / $178.90 / $251.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.55 / $175.43 / $228.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.63 / $247.53 / $1,474.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.50 / $188.34 / $283.37