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New Hampshire rates for HCPCS 50590

Lithotripsy, extracorporeal shock wave

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.37 / $2,276.26 / $9,063.53
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,544.23 / $1,544.23 / $1,544.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.54 / $816.38 / $1,380.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.58 / $529.58 / $529.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.94 / $1,032.15 / $1,487.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.43 / $1,477.87 / $2,410.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.81 / $1,352.73 / $2,532.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.61 / $1,357.71 / $4,750.21
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.51 / $662.00 / $1,107.04