go back

Arkansas 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
$472.59 / $1,064.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.82 / $721.27 / $1,068.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,259.72 / $3,259.72 / $3,911.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.24 / $509.18 / $1,158.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.46 / $2,575.46 / $2,575.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.09 / $651.61 / $1,555.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.93 / $1,065.24 / $1,639.01