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Arizona 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
$106.11 / $170.81 / $606.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.55 / $167.84 / $251.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.48 / $168.47 / $298.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.28 / $206.28 / $1,474.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.51 / $171.18 / $353.36