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South Carolina 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
$851.14 / $9,120.11 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $9,772.37 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $2,818.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $446.68 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $17,378.01 / $25,703.96