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Virginia 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
$363.08 / $5,011.87 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $7,413.10 / $9,332.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $380.19 / $954.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $501.19 / $812.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $446.68 / $660.69
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $436.52 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $11,481.54 / $23,988.33