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Minnesota rates for HCPCS 57400

Dilation Vagina W/Anesthesia Other Than Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.75 / $115.75 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.75 / $131.00 / $156.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,704.33 / $6,373.77 / $12,643.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.17 / $339.15 / $476.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.11 / $438.36 / $1,054.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.17 / $422.63 / $600.17
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.28 / $400.76 / $830.34
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.25 / $376.91 / $499.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.05 / $255.83 / $7,729.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.63 / $338.58 / $728.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.10 / $361.16 / $530.75