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New York 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
$106.26 / $173.99 / $341.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.15 / $216.19 / $397.61
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.67 / $169.67 / $273.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.16 / $250.74 / $569.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.56 / $262.77 / $393.68
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.07 / $226.81 / $363.11
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.53 / $256.27 / $569.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.25 / $244.65 / $477.87
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.07 / $235.59 / $384.82