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Nebraska 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
$933.25 / $5,011.87 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $741.31 / $1,122.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $5,128.61 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $707.95 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,071.52 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,047.13 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $977.24 / $3,890.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,122.02 / $1,445.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $870.96 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $5,370.32 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $912.01 / $1,202.26