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Minnesota rates for HCPCS 57220

Plastic Urethral Sphincter Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.73 / $318.73 / $4,828.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.17 / $7,824.33 / $17,676.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.32 / $1,201.59 / $2,890.62
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.81 / $1,098.55 / $2,276.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.87 / $650.33 / $10,533.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $8,689.00 / $11,531.00