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Mississippi rates for HCPCS 50590

Lithotripsy Xtrcorp Shock Wave

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.35 / $6,615.00 / $12,020.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.91 / $861.03 / $1,944.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,869.00 / $2,869.00 / $2,869.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.00 / $1,445.00 / $1,445.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.45 / $1,712.45 / $5,414.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.32 / $1,038.66 / $1,434.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $4,797.00 / $10,455.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.62 / $1,016.02 / $1,877.68