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Ohio rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.67 / $3,497.00 / $10,635.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.57 / $126.88 / $434.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $2,894.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.79 / $143.50 / $271.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.59 / $148.31 / $183.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.94 / $135.94 / $144.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.78 / $177.27 / $264.48
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.94 / $189.71 / $259.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.49 / $119.08 / $159.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.00 / $4,383.00 / $6,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.70 / $171.88 / $279.83