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Ohio 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
$116.87 / $187.53 / $322.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.05 / $143.38 / $263.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.40 / $196.98 / $196.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.09 / $192.59 / $333.83
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.03 / $202.15 / $333.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.34 / $193.79 / $277.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.76 / $202.75 / $354.56