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Massachusetts rates for HCPCS 57400

Dilation Vagina W/Anesthesia Other Than Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.00 / $2,663.12 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.29 / $145.24 / $347.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.01 / $3,997.00 / $12,379.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.90 / $258.52 / $1,068.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.41 / $245.64 / $400.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.69 / $263.58 / $477.72
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.52 / $300.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.86 / $146.83 / $236.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.56 / $320.22 / $467.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $4,525.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.75 / $273.14 / $1,068.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.19 / $207.00 / $454.78