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Florida 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
$591.00 / $4,818.00 / $12,590.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.63 / $654.01 / $1,130.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.94 / $246.94 / $1,176.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.96 / $11,061.00 / $26,709.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.90 / $691.17 / $1,459.40
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,759.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.29 / $599.25 / $1,071.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.67 / $955.55 / $1,288.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,681.00 / $5,811.00 / $10,057.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.99 / $1,081.39 / $1,801.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.47 / $570.25 / $570.25