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Kansas rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,848.00 / $4,747.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.70 / $125.52 / $187.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.00 / $1,534.38 / $2,492.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.69 / $159.63 / $159.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.91 / $198.32 / $272.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.52 / $234.82 / $6,496.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.69 / $178.75 / $1,068.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.00 / $3,096.00 / $5,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.51 / $156.81 / $245.81