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Nationwide rates for HCPCS 00873

Anesthesia for lithotripsy, extracorporeal shock wave; without water bath

Facilitymedian $288 · 10th–90th $52$7940%10%10th90th$288Professionalmedian $200 · 10th–90th $148$2450%20%40%10th90th$200$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QK
Typical Low / Median / Typical High
$281.84 / $288.40 / $489.78
Aetna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$426.58 / $776.25 / $794.33
Aetna
Facility/Professional
Facility
Modifier
QY
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Aetna
Facility/Professional
Facility
Modifier
QZ
Typical Low / Median / Typical High
$776.25 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
QK
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QY
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90