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Hawaii 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
$1,513.56 / $3,890.45 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $512.86 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $575.44 / $588.84
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $7,943.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $489.78 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $741.31
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $2,089.30 / $5,370.32