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California rates for HCPCS 50590

Lithotripsy, extracorporeal shock wave

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,938.09 / $10,007.00 / $21,960.90
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,573.43 / $16,615.00 / $29,533.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.02 / $850.49 / $2,676.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,204.00 / $14,273.00 / $27,867.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.65 / $1,121.63 / $2,304.44
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $100.00 / $19,950.95
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.74 / $905.57 / $1,894.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,091.14 / $2,471.35 / $11,306.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.41 / $892.41 / $1,912.66
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.29 / $845.10 / $1,182.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.29 / $828.19 / $1,419.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,931.68 / $11,933.00 / $12,131.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $7,060.12 / $7,060.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.29 / $915.53 / $1,605.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.80 / $947.59 / $1,853.15
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,822.00 / $6,822.00 / $6,822.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.14 / $1,862.14 / $2,433.17
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.14 / $845.10 / $1,206.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,696.00 / $13,722.00 / $29,571.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.76 / $970.68 / $2,413.28