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Washington, DC 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
$103.65 / $103.65 / $175.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.13 / $137.35 / $1,021.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.17 / $186.47 / $466.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.41 / $467.81 / $467.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.44 / $313.95 / $542.96