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Maine rates for HCPCS 50590

Lithotripsy Xtrcorp Shock Wave

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.75 / $7,985.36 / $9,445.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.91 / $897.67 / $1,175.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.94 / $878.22 / $1,160.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.44 / $1,055.21 / $1,621.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.05 / $913.44 / $1,421.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.75 / $7,985.36 / $11,162.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.75 / $922.19 / $1,175.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.28 / $1,017.31 / $1,492.53