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New York 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
$491.20 / $2,865.00 / $7,185.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.48 / $813.26 / $1,561.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,160.00 / $11,809.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.34 / $838.22 / $2,179.29
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.74 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.74 / $486.74 / $1,295.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.46 / $587.46 / $3,479.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.79 / $941.69 / $2,622.66
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $582.87 / $947.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.58 / $1,137.83 / $1,702.82
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.39 / $1,020.12 / $1,588.47
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,081.09 / $2,815.24 / $5,795.91
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.46 / $597.00 / $8,498.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.24 / $1,107.45 / $2,664.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.42 / $1,077.08 / $2,437.96
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.47 / $442.47 / $1,232.88
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.23 / $1,047.19 / $1,763.16