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Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.79 / $667.18 / $1,245.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.76 / $753.98 / $1,325.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.27 / $719.00 / $2,037.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,654.00 / $3,447.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.25 / $1,255.45 / $1,805.75