go back

Vermont rates for HCPCS 57400

Dilation Vagina W/Anesthesia Other Than Local

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.70 / $172.23 / $688.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.90 / $214.85 / $458.11
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.30 / $223.12 / $458.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.79 / $185.60 / $562.28