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North Dakota 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
$347.84 / $8,500.00 / $10,267.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.64 / $885.67 / $1,401.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.94 / $874.78 / $2,153.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.30 / $1,031.67 / $2,665.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.84 / $886.66 / $2,659.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.78 / $1,619.64 / $2,321.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.16 / $1,626.58 / $2,321.61