go back

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 / $3,576.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.38 / $133.38 / $134.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,866.13 / $6,110.65 / $9,729.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.76 / $132.60 / $200.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.55 / $176.77 / $209.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.63 / $469.69 / $5,962.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.75 / $172.47 / $1,068.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.00 / $2,900.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.88 / $151.25 / $227.05