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Montana 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
$8,128.31 / $8,128.31 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $575.44 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $741.31 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $741.31 / $794.33
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $812.83 / $977.24
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $812.83 / $977.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $691.83 / $912.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $478.63 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $812.83 / $1,174.90