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Tennessee 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
$109.57 / $162.06 / $252.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.52 / $169.25 / $293.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.88 / $200.97 / $323.37
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.00 / $1,404.16 / $1,656.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.33 / $220.63 / $352.80