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Maryland 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
$2,041.74 / $5,754.40 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $1,548.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $501.19 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $1,318.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $501.19 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $954.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $562.34 / $645.65