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Maine 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
$13,182.57 / $13,182.57 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $575.44 / $1,412.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $707.95 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $630.96 / $1,023.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $630.96 / $933.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $13,182.57 / $13,182.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $1,023.29