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West 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 / $161.66 / $187.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.97 / $135.97 / $135.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.97 / $210.59 / $569.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $173.26 / $280.77