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Massachusetts 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
$870.96 / $2,238.72 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $870.96 / $2,344.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $5,128.61 / $19,498.45
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $912.01 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $954.99 / $2,511.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $645.65 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,023.29 / $1,548.82
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $891.25 / $2,238.72
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,737.80 / $2,818.38
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $5,370.32 / $19,498.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $912.01 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $954.99 / $2,290.87