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Pennsylvania rates for HCPCS 57180

Intro Any Hemostatic Agent/Pack Vag Hemrrg Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.26 / $145.93 / $223.98
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.81 / $198.15 / $198.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.94 / $186.27 / $311.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.92 / $308.12 / $313.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.86 / $161.66 / $360.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $166.70 / $541.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.42 / $189.39 / $328.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.57 / $144.97 / $209.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.19 / $197.79 / $339.57