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Washington, DC 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
$851.14 / $1,862.09 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $933.25 / $1,412.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,258.93 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $870.96 / $2,630.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,000.00 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $14,454.40 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $831.76 / $1,778.28