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Kentucky rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.77 / $787.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.40 / $123.92 / $136.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $2,316.00 / $4,229.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.26 / $139.66 / $187.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.59 / $168.97 / $194.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.79 / $168.97 / $241.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.69 / $148.69 / $149.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.61 / $183.79 / $286.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.81 / $186.48 / $266.25