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Delaware 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
$111.41 / $116.87 / $187.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.86 / $154.56 / $248.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.38 / $189.44 / $394.25