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Utah rates for HCPCS 57180

Intro Any Hemostatic Agent/Pack Vag Hemrrg Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.24 / $180.60 / $254.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.22 / $181.91 / $319.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.63 / $142.06 / $191.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.94 / $222.86 / $289.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.12 / $179.37 / $357.85