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Georgia 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
$97.78 / $168.66 / $295.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.07 / $220.05 / $388.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.10 / $215.63 / $408.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.97 / $210.07 / $286.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.65 / $228.85 / $400.16