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Washington rates for HCPCS 57220

Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication)

Facilitymedian $4,169 · 10th–90th $513–$20,4170%5%10%10th90th$4,169$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $7,943.28 / $20,892.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $13,182.57 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $5,248.07
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $794.33 / $13,803.84
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $616.60 / $707.95
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $478.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $13,803.84 / $26,915.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $15,848.93 / $28,840.32