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Montana 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
$0.89 / $0.89 / $0.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $602.56 / $676.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $457.09 / $562.34