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Wisconsin rates for HCPCS 57180

Intro Any Hemostatic Agent/Pack Vag Hemrrg Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.27 / $155.11 / $401.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.38 / $409.29 / $910.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.68 / $394.12 / $674.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.37 / $452.67 / $965.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.17 / $223.50 / $425.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.39 / $429.96 / $661.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.02 / $554.10 / $1,474.32
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.31 / $656.11 / $1,085.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.62 / $400.72 / $733.32