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Arizona 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
$1,258.93 / $2,754.23 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $1,905.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $478.63 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,949.84 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $602.56 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $741.31 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $562.34 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,162.28 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $933.25