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Maine 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 $6,026 · 10th–90th $1–$12,0230%10%10th90th$6,026Professionalmedian $871 · 10th–90th $363–$1,4130%10%10th90th$871$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$0.74 / $6,025.60 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $870.96 / $1,318.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $794.33 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $758.58 / $1,905.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $954.99 / $1,659.59
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $912.01 / $1,513.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $870.96 / $1,778.28