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Idaho 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
$141.35 / $211.53 / $348.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.50 / $227.54 / $325.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.80 / $236.12 / $380.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $268.93 / $338.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.21 / $228.34 / $374.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.50 / $210.59 / $317.48