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Massachusetts 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 / $2,884.03 / $5,623.41
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $1,995.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $5,128.61 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $691.83 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $851.14 / $1,621.81
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $870.96 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $478.63 / $707.95
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $812.83 / $1,288.25
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,019.95 / $11,481.54
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $5,370.32 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $691.83 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $741.31 / $1,698.24