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Missouri rates for HCPCS 52317

Litholapaxy Smpl/Sm <2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.00 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.73 / $814.25 / $1,047.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.00 / $1,581.00 / $3,523.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.74 / $747.44 / $1,461.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.19 / $793.48 / $1,906.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.66 / $1,231.10 / $4,332.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.00 / $1,783.96 / $7,358.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.15 / $1,285.94 / $2,097.29