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West 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
$446.68 / $16,982.44 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $501.19 / $1,258.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $602.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $676.08 / $2,951.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $19,498.45 / $24,547.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $549.54 / $831.76