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Minnesota rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $138.04 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,413.10 / $22,908.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $457.09 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $398.11 / $588.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $446.68 / $870.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $331.13 / $501.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $263.03 / $7,762.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $269.15 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,248.07 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $263.03 / $524.81