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Delaware 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
$896.67 / $6,404.52 / $9,643.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.46 / $849.40 / $948.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.56 / $635.88 / $1,548.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,150.78 / $7,150.78 / $15,678.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.29 / $1,392.68 / $1,982.41