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Tennessee rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.27 / $149.19 / $262.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,549.00 / $5,737.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.57 / $170.26 / $266.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.47 / $184.18 / $293.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.36 / $9,496.40 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.90 / $1,068.90 / $1,099.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.88 / $192.97 / $288.52