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Tennessee 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
$616.60 / $2,454.71 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $1,258.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $588.84 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $4,073.80 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $691.83 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $645.65 / $954.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,630.78 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $645.65 / $1,023.29