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Nebraska rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.31 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.04 / $118.04 / $688.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,474.97 / $6,064.74 / $11,385.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.41 / $195.02 / $260.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.42 / $296.29 / $398.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.36 / $224.28 / $7,772.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.29 / $298.64 / $1,068.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.42 / $319.24 / $3,093.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.00 / $285.30 / $398.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $180.10 / $327.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.24 / $290.04 / $362.66