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Idaho rates for HCPCS 50590

Lithotripsy Xtrcorp Shock Wave

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,338.05 / $5,519.00 / $9,328.21
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$14,347.26 / $14,347.26 / $14,347.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.91 / $963.10 / $1,684.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.74 / $1,042.48 / $1,287.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.31 / $1,274.15 / $2,027.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.67 / $1,115.96 / $1,433.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,027.67 / $1,292.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,284.43 / $8,522.07 / $10,689.08
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,952.15 / $12,783.11 / $16,471.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.22 / $1,070.59 / $1,385.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,800.00 / $26,422.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.14 / $1,107.99 / $1,566.59