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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
$842.10 / $1,793.00 / $3,175.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.42 / $874.63 / $1,004.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.99 / $411.48 / $4,131.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.63 / $880.90 / $2,647.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.58 / $2,069.11 / $2,069.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.19 / $2,277.52 / $2,397.39