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Kansas rates for HCPCS 52317

Litholapaxy Smpl/Sm <2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.30 / $3,131.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.18 / $824.59 / $1,413.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.02 / $3,575.04 / $4,751.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.64 / $550.64 / $1,306.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.13 / $826.45 / $2,034.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.28 / $1,157.61 / $5,562.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.78 / $1,539.63 / $7,358.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.00 / $3,096.00 / $5,747.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.79 / $1,388.45 / $1,854.43