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Rhode Island rates for HCPCS 57400

Dilation Vagina W/Anesthesia Other Than Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.79 / $134.47 / $187.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.34 / $160.40 / $267.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.90 / $206.33 / $275.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,654.00 / $3,447.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $188.64 / $264.33