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New York 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
$457.09 / $4,265.80 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,995.26 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,862.09 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $630.96 / $1,202.26
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,888.44 / $13,803.84
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $398.11 / $1,023.29