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Arizona rates for RC 0790

ExtraCorporeal Shock Wave Therapy (formerly Lithotripsy)-General Classification

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,219.89 / $5,219.89 / $5,440.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,524.07 / $2,286.11 / $2,994.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,800.00 / $14,942.50 / $16,820.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,460.00 / $10,460.00 / $10,460.00