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Massachusetts rates for HCPCS 50590

Lithotripsy, extracorporeal shock wave

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.14 / $3,847.00 / $7,625.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,933.50 / $6,052.50 / $7,571.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.54 / $894.36 / $2,335.73
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.63 / $5,904.00 / $12,131.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.97 / $1,403.30 / $7,060.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.28 / $866.16 / $1,528.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.93 / $1,407.93 / $2,817.15
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.08 / $1,214.90 / $8,208.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.64 / $881.30 / $1,362.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.22 / $1,538.04 / $2,233.51
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,320.31 / $6,058.56 / $9,478.74
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.77 / $1,293.51 / $1,759.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $6,883.00 / $14,018.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.71 / $1,895.98 / $7,060.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.22 / $1,315.99 / $3,354.75