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Massachusetts rates for HCPCS 50590

Lithotripsy, extracorporeal shock wave

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,981.07 / $6,918.31
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,897.79 / $6,025.60 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $870.96 / $3,019.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $7,413.10 / $16,218.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $977.24 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,174.90 / $2,511.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,819.70 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $891.25 / $1,318.26
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,918.31 / $15,488.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,071.52 / $1,995.26
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $6,165.95 / $9,549.93
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $8,128.31 / $16,218.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $977.24 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,456.54 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,122.02 / $2,187.76