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Washington rates for HCPCS 57220

Plastic Urethral Sphincter Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.60 / $5,116.62 / $18,800.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,791.87 / $14,095.51 / $26,963.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,164.22 / $3,164.22 / $5,271.55
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.22 / $715.08 / $11,411.87
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.95 / $617.74 / $702.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.21 / $479.39 / $1,964.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,911.79 / $14,087.45 / $26,963.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,478.00 / $4,395.58 / $16,315.00