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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
$727.00 / $3,213.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,673.52 / $6,535.46 / $12,942.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.06 / $304.06 / $304.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,194.69 / $3,194.69 / $5,065.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.11 / $424.90 / $713.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.69 / $427.65 / $894.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $5,918.00 / $13,134.00