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Nebraska 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 $3,802 · 10th–90th $708–$8,5110%10%10th90th$3,802Professionalmedian $832 · 10th–90th $316–$2,0420%20%10th90th$832$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
$707.95 / $3,548.13 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $831.76 / $2,041.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $5,128.61 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $758.58 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,047.13 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $1,479.11 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,778.28 / $7,413.10
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,862.09 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $1,862.09
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $1,412.54 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $5,370.32 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $1,047.13 / $2,089.30