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Illinois rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $2,041.74 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $147.91 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,073.80 / $5,495.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $213.80 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $281.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $223.87 / $676.08
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $165.96 / $181.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,548.13 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $177.83 / $288.40