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Alaska rates for HCPCS 52318

Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $6,760.83 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $602.56 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $758.58 / $3,162.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,348.96 / $3,311.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $2,951.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,238.72 / $3,162.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $457.09 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,318.26 / $3,311.31