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Texas 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
$111.57 / $156.54 / $238.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.24 / $186.88 / $327.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.80 / $197.37 / $300.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.00 / $1,404.16 / $1,656.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.47 / $219.59 / $332.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.80 / $189.80 / $189.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.71 / $199.88 / $339.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.62 / $173.27 / $286.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.33 / $182.54 / $257.26