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Arizona rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $3,008.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.02 / $126.88 / $688.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,197.38 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.38 / $148.50 / $185.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,084.43 / $3,084.43 / $3,084.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.21 / $158.05 / $288.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.94 / $169.89 / $3,787.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.16 / $150.54 / $1,068.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.11 / $142.91 / $253.40