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South Carolina rates for HCPCS 57220

Plastic Urethral Sphincter Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.66 / $7,799.00 / $16,639.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,969.35 / $10,543.58 / $17,699.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $2,831.77 / $3,638.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.24 / $430.44 / $705.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,633.30 / $15,451.00 / $23,485.00