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South Carolina rates for HCPCS 57400

Dilation Vagina W/Anesthesia Other Than Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.53 / $5,621.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.30 / $142.53 / $205.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.56 / $4,471.00 / $7,943.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $120.94 / $166.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $2,130.29 / $2,737.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.32 / $180.81 / $310.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.28 / $176.24 / $290.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.76 / $1,884.79 / $2,096.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.40 / $114.11 / $180.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.50 / $176.49 / $318.89