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California rates for HCPCS 57220

Plastic Urethral Sphincter Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.05 / $6,695.00 / $17,902.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,629.00 / $7,166.00 / $15,328.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,426.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,811.56 / $3,322.76 / $7,828.13
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.69 / $403.90 / $545.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.92 / $458.80 / $799.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.60 / $12,623.50 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.46 / $451.39 / $692.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,284.00 / $12,267.00 / $26,451.00