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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
$1,621.81 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,548.13 / $8,128.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $251.19 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $208.93 / $251.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $251.19 / $1,621.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $218.78 / $263.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $7,079.46 / $9,772.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $208.93 / $245.47
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $229.09 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $181.97 / $269.15