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New Jersey 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 $4,467 · 10th–90th $1,148–$9,3330%10%10th90th$4,467Professionalmedian $851 · 10th–90th $324–$1,8200%5%10%10th90th$851$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$1,122.02 / $4,466.84 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $851.14 / $1,819.70
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $8,709.64 / $17,378.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $851.14 / $2,089.30
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $1,023.29 / $1,659.59
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $11,220.18 / $17,378.01
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $870.96 / $1,905.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $6,165.95 / $10,471.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $691.83 / $1,659.59