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New Mexico 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
$660.69 / $1,380.38 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $489.78 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $9,120.11 / $14,454.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $562.34 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $724.44 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $676.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $724.44 / $1,230.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $691.83 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $6,606.93 / $15,488.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,071.52