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Michigan rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.69 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.70 / $153.69 / $160.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,138.48 / $2,496.26 / $3,400.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.18 / $126.89 / $217.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.92 / $149.69 / $266.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.82 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.25 / $148.22 / $225.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.26 / $102.86 / $147.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.66 / $178.49 / $221.74