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Pennsylvania rates for HCPCS 00873

Anes Lithotrp Xtrcorp Shock Wave W/O Water Bath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$279.55 / $279.55 / $287.61
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$633.91 / $774.14 / $796.45
Aetna
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$228.91 / $228.91 / $228.91
Highmark BCBS
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$61.92 / $61.92 / $61.92
Martin's Point
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$279.55 / $287.61 / $287.61
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$633.91 / $774.14 / $796.45
Martin's Point
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$228.91 / $228.91 / $228.91