go back

New York rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $3,548.13 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $151.36 / $457.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,786.30 / $10,232.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $131.83 / $346.74
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $1,698.24 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $1,659.59 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $245.47 / $588.84
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $131.83 / $309.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $165.96 / $234.42
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $169.82 / $323.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $204.17 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,365.16 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $177.83 / $354.81
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $147.91 / $467.74
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $158.49 / $407.38