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Alaska 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
$564.16 / $654.99 / $888.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.35 / $380.35 / $546.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.14 / $766.50 / $1,266.21
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.75 / $693.53 / $956.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.16 / $588.90 / $947.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.14 / $656.13 / $826.02