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Alaska rates for HCPCS 50590

Lithotripsy, extracorporeal shock wave

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,396.59 / $9,577.00 / $17,559.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.01 / $1,059.41 / $3,351.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,946.43 / $1,946.43 / $2,425.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.08 / $3,351.29 / $4,691.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.95 / $3,622.50 / $4,964.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,315.25 / $3,079.13 / $4,102.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.08 / $3,351.29 / $4,691.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.08 / $2,782.50 / $4,162.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,891.09 / $2,910.69 / $4,395.81