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Oregon rates for HCPCS 57400

Dilation Vagina W/Anesthesia Other Than Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.20 / $5,649.00 / $15,341.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.70 / $151.94 / $644.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.68 / $284.12 / $384.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.97 / $295.18 / $332.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.94 / $258.45 / $368.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.47 / $236.22 / $415.90
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.53 / $248.25 / $262.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.94 / $319.55 / $3,274.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.24 / $308.00 / $384.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,041.14 / $9,224.37 / $11,703.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.41 / $320.82 / $410.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $9,074.00 / $12,786.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.93 / $310.89 / $410.65