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Texas 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
$870.96 / $3,630.78 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $6,760.83 / $13,489.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,011.87 / $5,011.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $45,708.82 / $45,708.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $645.65 / $4,677.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $426.58 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,760.83 / $13,803.84