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North Dakota rates for HCPCS 57400

Dilation Vagina W/Anesthesia Other Than Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.00 / $131.00 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.75 / $131.00 / $139.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.20 / $275.49 / $330.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.05 / $300.61 / $388.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.00 / $181.07 / $393.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.27 / $249.68 / $338.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.71 / $253.82 / $338.58