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Montana rates for HCPCS 57180

Intro Any Hemostatic Agent/Pack Vag Hemrrg Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.36 / $606.76 / $926.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.73 / $192.44 / $314.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.23 / $212.05 / $326.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.24 / $293.24 / $555.73