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Nebraska rates for HCPCS 57220

Plastic Urethral Sphincter Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,382.00 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,198.33 / $7,045.08 / $13,225.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.05 / $608.61 / $8,632.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.75 / $857.71 / $4,164.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,848.70 / $7,221.00 / $8,816.00