go back

West Virginia rates for HCPCS 50590

Lithotripsy, extracorporeal shock wave

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $10,232.93 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $794.33 / $1,348.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $758.58 / $977.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,122.02 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $891.25 / $4,570.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $16,218.10 / $20,417.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $794.33 / $1,288.25