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Maine rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.70 / $133.31 / $145.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.19 / $172.75 / $248.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.66 / $199.96 / $281.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.16 / $186.95 / $286.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.70 / $133.31 / $145.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.80 / $206.96 / $286.79