go back

Illinois rates for HCPCS 57220

Plastic Urethral Sphincter Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.75 / $1,842.00 / $5,393.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,037.41 / $6,432.31 / $9,005.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $709.00 / $735.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.61 / $569.66 / $1,622.82
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.00 / $5,405.00 / $11,479.00