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Arizona rates for HCPCS 57220

Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,745.00 / $7,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.10 / $4,100.10 / $4,100.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.83 / $454.15 / $7,168.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,209.10 / $5,596.00 / $8,586.00