go back

Colorado 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
$1,058.21 / $3,133.00 / $8,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.76 / $703.63 / $1,333.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,427.00 / $7,478.00 / $13,989.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.17 / $947.21 / $1,680.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.62 / $862.77 / $1,595.72
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.26 / $816.00 / $1,483.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.04 / $891.49 / $1,501.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,852.00 / $6,090.00 / $14,057.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.60 / $1,411.20 / $2,252.90