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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
$120.23 / $151.36 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $181.97 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $177.83 / $288.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $173.78 / $257.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $186.21 / $281.84