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Montana rates for HCPCS 50590

Lithotripsy, extracorporeal shock wave

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,205.12 / $6,857.63 / $15,409.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.02 / $897.67 / $3,001.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.75 / $901.75 / $1,170.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.75 / $901.75 / $901.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.75 / $947.50 / $1,193.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.14 / $1,640.07 / $1,686.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.04 / $901.75 / $1,248.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.08 / $1,322.94 / $2,035.93