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Indiana 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
$389.05 / $4,897.79 / $11,220.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $18,197.01 / $26,302.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $346.74 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $549.54 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $9,549.93 / $16,218.10