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Oklahoma rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $134.90 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $5,754.40 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $173.78 / $204.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $1,862.09 / $6,760.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,311.31 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $141.25 / $194.98