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Alaska rates for HCPCS 52317

Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm)

Facilitymedian $1,622 · 10th–90th $407–$6,6070%5%10%10th90th$1,622Professionalmedian $891 · 10th–90th $339–$3,0200%10%10th90th$891$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$2,454.71 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $851.14 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $588.84 / $1,445.44
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $1,258.93 / $5,128.61
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $2,187.76 / $5,623.41
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $3,548.13 / $4,677.35
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $1,096.48 / $3,801.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $758.58 / $1,949.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,548.82 / $3,467.37