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Oregon 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 $1,660 · 10th–90th $631$6,4570%20%10th90th$1,660Professionalmedian $891 · 10th–90th $347$2,0420%10%10th90th$891$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
$691.83 / $1,995.26 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $891.25 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $954.99 / $2,344.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $891.25 / $2,137.96
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $1,122.02 / $2,187.76
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $1,122.02 / $2,238.72
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,659.59 / $1,778.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $1,071.52 / $2,089.30
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $891.25 / $2,238.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $11,220.18 / $13,803.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,174.90 / $2,398.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $10,715.19 / $15,135.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $1,000.00 / $2,290.87