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Virginia rates for HCPCS 57220

Plastic Urethral Sphincter Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.13 / $5,087.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.47 / $396.56 / $489.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.63 / $430.86 / $624.88
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.01 / $430.62 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00