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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)

Facilitymedian $2,818 · 10th–90th $562–$6,4570%10%10th90th$2,818Professionalmedian $575 · 10th–90th $437–$1,5140%10%10th90th$575$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,884.03 / $5,623.41
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $549.54 / $1,584.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $5,370.32 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $691.83 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $707.95 / $1,621.81
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $524.81 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $446.68 / $676.08
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $758.58 / $1,288.25
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,019.95 / $11,481.54
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $851.14
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $5,370.32 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $691.83 / $3,890.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,981.07 / $9,772.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $741.31 / $1,862.09