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Minnesota 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
$436.52 / $436.52 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $512.86 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,709.64 / $19,054.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,047.13 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,659.59 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,412.54 / $2,137.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,621.81 / $3,162.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,202.26 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,023.29 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $977.24 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,248.07 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $954.99 / $1,819.70