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Michigan 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
$630.96 / $3,388.44 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $1,513.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $691.83 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $776.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,884.03 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $1,122.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $562.34 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,011.87 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $616.60 / $812.83