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Tennessee 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
$713.00 / $2,678.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.00 / $4,657.00 / $7,950.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.60 / $12,623.50 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,709.00 / $10,111.00