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South Dakota rates for HCPCS 50590

Lithotripsy, extracorporeal shock wave

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $8,128.31 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $794.33 / $8,912.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,659.59 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,096.48 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,412.54 / $7,079.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,318.26 / $1,698.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,479.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,202.26 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,202.26 / $1,995.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,348.96 / $1,737.80