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Massachusetts rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,884.03 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $141.25 / $524.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $4,897.79 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $194.98 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $389.05 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $239.88 / $446.68
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $501.19 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $131.83 / $194.98
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $223.87 / $363.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $4,897.79 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $194.98 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $208.93 / $501.19