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Alabama 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,584.89 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $794.33 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $3,467.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $851.14 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $630.96 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,951.21 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $676.08 / $1,348.96