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Arkansas rates for HCPCS 57400

Dilation Vagina W/Anesthesia Other Than Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.34 / $1,277.00 / $3,804.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.24 / $154.15 / $186.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,875.60 / $2,875.60 / $3,450.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.41 / $172.60 / $172.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,022.76 / $2,022.76 / $2,022.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $214.95 / $234.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.13 / $165.37 / $251.14