go back

Vermont 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
Professional
Modifier
Low / Median / High Price
$356.18 / $946.63 / $1,821.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.93 / $799.74 / $3,249.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.30 / $1,106.74 / $3,249.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.88 / $1,392.36 / $3,987.95