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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
$660.69 / $1,659.59 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $229.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,570.88 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $169.82 / $204.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $165.96 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,630.27 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $251.19