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Arkansas 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
$119.91 / $143.62 / $218.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.91 / $163.11 / $238.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.00 / $197.72 / $291.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.63 / $179.37 / $342.05