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South Carolina rates for HCPCS 50590

Lithotripsy Xtrcorp Shock Wave

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.26 / $9,369.36 / $20,540.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.91 / $897.67 / $1,604.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.29 / $573.29 / $573.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,516.81 / $9,020.84 / $16,391.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.29 / $888.82 / $1,830.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $2,106.17 / $14,146.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.35 / $968.10 / $1,554.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.52 / $983.54 / $1,601.40
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,419.91 / $1,589.53 / $2,749.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,745.96 / $1,863.46 / $2,252.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $674.74 / $1,117.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,627.00 / $25,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.23 / $1,053.70 / $1,941.60