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Oklahoma rates for HCPCS 50590

Lithotripsy, extracorporeal shock wave

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.21 / $7,030.79 / $14,204.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,767.00 / $25,026.60 / $25,026.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.79 / $826.78 / $914.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,053.37 / $14,113.30 / $22,209.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.19 / $892.03 / $979.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.71 / $824.11 / $1,120.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.02 / $982.85 / $11,315.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.62 / $1,170.60 / $7,060.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.00 / $6,980.00 / $13,541.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.14 / $878.62 / $1,343.15