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Michigan 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
$112.04 / $149.19 / $241.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $113.60 / $227.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $178.38 / $301.58
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.58 / $169.15 / $252.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.06 / $172.30 / $251.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.56 / $200.94 / $319.05