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Virginia 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 / $3,235.94 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $537.03 / $1,071.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $588.84 / $851.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $758.58 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $933.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $1,230.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,096.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $676.08 / $1,023.29
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $645.65 / $8,709.64
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $645.65 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,244.36 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $616.60 / $1,000.00