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Missouri 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
$1,096.48 / $3,235.94 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $562.34 / $1,174.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $478.63 / $630.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,548.82 / $3,235.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $478.63 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $660.69 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,737.80 / $16,218.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $794.33 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,754.23 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $660.69 / $1,096.48