go back

Minnesota rates for HCPCS 52318

Litholapaxy Comp/Lg > 2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.34 / $440.34 / $3,638.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.34 / $485.20 / $684.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,511.39 / $8,348.54 / $13,887.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.30 / $1,209.16 / $1,697.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.32 / $1,580.24 / $3,801.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.17 / $1,523.55 / $2,174.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.86 / $1,444.72 / $2,993.29
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.80 / $1,365.27 / $1,809.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.63 / $926.97 / $7,770.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.08 / $1,225.41 / $2,460.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.16 / $1,230.26 / $1,889.43