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Colorado 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
$112.71 / $173.99 / $221.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.47 / $241.61 / $397.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.97 / $202.41 / $335.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.87 / $237.40 / $387.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $259.99 / $437.42