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Connecticut rates for HCPCS 57400

Dilation Vagina W/Anesthesia Other Than Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,411.00 / $5,297.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.70 / $195.45 / $309.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $11,908.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.61 / $267.14 / $337.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.66 / $235.32 / $359.02
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.06 / $216.84 / $216.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.00 / $7,010.00 / $11,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.91 / $200.29 / $385.53