go back

California rates for HCPCS 57410

Pelvic Examination W/Anesthesia Other Than Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.22 / $6,211.00 / $17,054.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $4,718.00 / $9,381.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,010.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,115.08 / $2,499.65 / $5,888.95
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.98 / $118.86 / $160.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.49 / $137.54 / $244.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.92 / $9,496.40 / $16,394.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.67 / $141.12 / $205.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,459.00 / $7,352.00 / $15,471.00