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Utah rates for HCPCS 50590

Lithotripsy Xtrcorp Shock Wave

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.44 / $8,255.35 / $11,814.14
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,614.40 / $7,614.40 / $8,648.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.01 / $861.03 / $1,294.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.69 / $946.91 / $1,375.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $529.54 / $703.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,086.24 / $6,609.94 / $9,632.58
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,629.36 / $9,914.91 / $14,448.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.20 / $1,161.14 / $1,520.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.61 / $903.32 / $1,570.73