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West Virginia 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 $813 · 10th–90th $324–$9,7720%20%10th90th$813Professionalmedian $603 · 10th–90th $324–$1,1220%20%10th90th$603$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$323.59 / $812.83 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $602.56 / $1,122.02
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $446.68
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $891.25 / $7,413.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $24,547.09 / $24,547.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $9,772.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $616.60 / $1,659.59