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New Mexico rates for HCPCS 50590

Lithotripsy, extracorporeal shock wave

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.92 / $7,812.85 / $9,880.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.01 / $741.48 / $1,186.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,036.49 / $14,481.62 / $24,260.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.66 / $859.24 / $1,255.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.27 / $1,016.16 / $1,414.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $631.54 / $1,124.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.88 / $795.00 / $1,397.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.27 / $1,016.16 / $1,500.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,028.00 / $15,131.00 / $16,269.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.50 / $1,339.77 / $1,658.20