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Indiana rates for HCPCS 57400

Dilation Vagina W/Anesthesia Other Than Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.57 / $1,386.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.77 / $126.57 / $150.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $5,126.00 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.60 / $178.17 / $245.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.46 / $152.26 / $175.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.12 / $140.54 / $175.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,243.79 / $2,243.79 / $2,243.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.61 / $166.80 / $271.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.34 / $154.13 / $245.82