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South Carolina 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
$107.15 / $158.49 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $144.54 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $177.83 / $323.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $165.96 / $269.15