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Alabama rates for HCPCS 52317

Litholapaxy Smpl/Sm <2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.00 / $1,100.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.64 / $871.19 / $1,671.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,077.55 / $2,521.19 / $3,391.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.02 / $913.32 / $1,253.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.20 / $800.02 / $1,817.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.00 / $2,891.00 / $4,402.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.87 / $958.79 / $1,392.68