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Minnesota 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 / $158.49 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $354.81 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $501.19 / $851.14
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $436.52 / $776.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $380.19 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $288.40 / $645.65