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Louisiana rates for HCPCS 52317

Litholapaxy Smpl/Sm <2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.00 / $1,273.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.11 / $759.36 / $1,372.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,913.49 / $5,398.06 / $7,544.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.22 / $678.47 / $1,399.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,743.08 / $2,743.08 / $2,743.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.82 / $615.57 / $1,336.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.48 / $1,136.81 / $1,760.73