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North Dakota rates for HCPCS 50590

Lithotripsy, extracorporeal shock wave

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.59 / $8,500.00 / $14,615.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.75 / $719.46 / $989.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.23 / $1,425.70 / $1,837.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.46 / $1,400.03 / $2,280.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.59 / $809.55 / $1,714.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.89 / $1,363.05 / $1,934.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.25 / $1,447.08 / $1,934.80