go back

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
$341.49 / $1,386.00 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,473.00 / $7,200.00 / $15,727.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.75 / $407.52 / $470.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,982.66 / $2,982.66 / $2,982.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,137.06 / $9,369.00 / $15,660.00