go back

South Carolina rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $7,244.36 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $134.90 / $269.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,365.16 / $8,128.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $117.49 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,137.96 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $177.83 / $302.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $186.21 / $302.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $11,220.18 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $251.19