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Idaho rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.00 / $152.93 / $226.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.13 / $224.18 / $250.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.93 / $226.70 / $290.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.22 / $221.90 / $253.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $203.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,781.66 / $7,272.33 / $9,472.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $200.00 / $241.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.71 / $183.55 / $276.02