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Wyoming 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
$372.82 / $372.82 / $1,027.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.00 / $835.00 / $2,164.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.48 / $815.33 / $1,852.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.68 / $2,247.64 / $3,340.98