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Louisiana rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.00 / $1,520.00 / $3,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.70 / $159.91 / $199.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,463.38 / $4,608.04 / $6,666.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.31 / $175.27 / $240.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.21 / $166.69 / $249.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.75 / $188.38 / $278.79