go back

Colorado rates for HCPCS C1052

Hemostatic agent, gastrointestinal, topical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.98 / $660.98 / $660.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.98 / $660.98 / $660.98
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.98 / $660.98 / $1,110.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $155.00 / $329.00