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Indiana 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
$112.20 / $162.18 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $154.88 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $165.96 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $154.88 / $251.19