go back

Utah 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
$1,995.26 / $3,715.35 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $645.65 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,318.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $13,489.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $891.25 / $3,388.44
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $954.99 / $1,412.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $575.44 / $977.24