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Vermont 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 / $147.91 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $208.93 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $194.98 / $478.63