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Kentucky rates for HCPCS 52317

Litholapaxy Smpl/Sm <2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.20 / $988.00 / $4,387.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.46 / $740.98 / $1,157.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.00 / $2,315.00 / $10,277.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.41 / $711.28 / $1,200.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.66 / $446.98 / $515.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.16 / $462.94 / $1,124.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.42 / $587.46 / $587.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.79 / $857.45 / $1,748.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.10 / $1,225.04 / $1,672.35