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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.52 / $3,662.00 / $8,084.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.75 / $813.26 / $1,144.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.00 / $3,438.00 / $3,438.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.77 / $893.68 / $2,208.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.37 / $1,280.72 / $1,574.35
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,990.20 / $6,990.20 / $8,385.14
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.27 / $831.95 / $1,494.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $7,250.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.91 / $985.24 / $2,163.44