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Wisconsin 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
$467.74 / $1,698.24 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $1,905.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $891.25 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,380.38 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,479.11 / $1,698.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $2,884.03 / $5,370.32
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $5,495.41 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $851.14 / $3,890.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $630.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,047.13 / $1,778.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $9,332.54 / $9,332.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $2,290.87 / $3,890.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,754.23 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $776.25 / $2,041.74