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Indiana rates for HCPCS 50590

Lithotripsy, extracorporeal shock wave

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.95 / $7,954.00 / $19,071.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.27 / $720.79 / $1,021.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.44 / $496.44 / $695.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.00 / $12,472.00 / $24,099.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.04 / $870.76 / $1,352.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.57 / $705.47 / $1,097.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.00 / $802.80 / $1,003.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.40 / $9,608.00 / $28,664.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.88 / $843.48 / $1,588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,117.00 / $11,200.00 / $17,380.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.53 / $984.23 / $1,490.75