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Wisconsin 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
$380.19 / $707.95 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,698.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $3,981.07 / $7,413.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $7,585.78 / $15,848.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $794.33 / $1,096.48
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $12,589.25 / $12,589.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10