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Connecticut rates for HCPCS 52317

Litholapaxy Smpl/Sm <2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.22 / $4,280.34 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.82 / $946.63 / $1,467.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,939.35 / $5,312.00 / $12,904.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.35 / $927.16 / $2,203.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.43 / $1,061.84 / $2,247.46
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.63 / $1,414.67 / $1,414.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.00 / $7,010.00 / $11,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.20 / $1,477.29 / $2,728.78