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Tennessee rates for HCPCS 52317

Litholapaxy Smpl/Sm <2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.19 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.08 / $871.19 / $1,401.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.00 / $3,688.00 / $6,090.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.60 / $764.85 / $1,479.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.12 / $802.03 / $1,644.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,593.36 / $1,665.68 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,201.92 / $7,358.63 / $7,579.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.36 / $1,225.58 / $1,977.00