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Anesthesia For Shock Wave Kidney Stone Treatment

Georgia rates for HCPCS 00873

Covers the anesthesia for lithotripsy, a treatment that sends focused shock waves through the skin to break a kidney stone into fragments small enough to pass in the urine. The anesthesia keeps you still and comfortable while the shocks are delivered. The doctor performing the treatment charges separately.

Rates data updated July 2026.

Professionalmedian $148 · 10th–90th $148$2000%20%40%90th$148$200.0

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

Insurance Carrier
Kaiser Permanente
Setting
Professional
Modifier
QK · Directing 2–4 cases
Typical Low
$147.91
Median
$147.91
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$147.91
Median
$147.91
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
QY · Directing one CRNA
Typical Low
$147.91
Median
$147.91
Typical High
$199.53