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Indiana 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)

Facilitymedian $7,586 · 10th–90th $490–$17,3780%10%10th90th$7,586Professionalmedian $813 · 10th–90th $331–$1,5490%10%10th90th$813$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $1,412.54 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $794.33 / $1,380.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $13,803.84 / $18,620.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $831.76 / $2,884.03
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $346.74 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $562.34 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $707.95 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $6,025.60 / $14,125.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $724.44 / $1,479.11