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Virginia 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
$103.65 / $171.13 / $237.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.53 / $187.42 / $277.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.43 / $171.55 / $1,013.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.31 / $186.47 / $329.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.03 / $223.24 / $275.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $204.00 / $339.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.43 / $217.80 / $819.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.96 / $207.27 / $343.28