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Virginia rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $3,630.78 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $134.90 / $245.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $165.96 / $234.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $213.80 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $169.82 / $281.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $138.04 / $346.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $234.42 / $309.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $181.97 / $288.40
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $177.83 / $8,709.64
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $177.83 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,244.36 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $169.82 / $275.42