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Michigan 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
$408.60 / $4,112.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,203.72 / $4,907.01 / $6,684.69
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.02 / $4,112.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,869.30 / $7,935.00 / $10,652.00