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Indiana 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
$338.84 / $4,073.80 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $524.81 / $1,174.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $1,047.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,803.84 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $724.44 / $1,122.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $467.74 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $758.58 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $6,025.60 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $549.54 / $912.01