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Montana rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.70 / $135.46 / $688.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.59 / $205.59 / $205.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.59 / $205.59 / $205.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.57 / $205.59 / $220.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.22 / $237.25 / $249.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.87 / $187.33 / $270.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.07 / $224.79 / $357.04