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Missouri rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $3,351.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.00 / $122.96 / $143.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.04 / $167.00 / $246.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.08 / $200.69 / $344.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.72 / $229.97 / $10,019.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.50 / $206.49 / $1,068.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.50 / $181.10 / $296.19