go back

Oregon rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $331.13 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $275.42 / $398.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $239.88 / $316.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $218.78 / $446.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $234.42 / $338.84
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $251.19 / $263.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $190.55 / $316.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $251.19 / $354.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $9,772.37 / $11,748.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $281.84 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $9,772.37 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $257.04 / $363.08