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Missouri 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
$114.07 / $153.30 / $194.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.00 / $153.69 / $269.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.19 / $207.32 / $393.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.13 / $311.14 / $1,474.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.52 / $234.17 / $378.87