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California rates for RC 0790

Lithotripsy - General Classification

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,981.00 / $12,981.00 / $12,981.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,477.83 / $5,477.83 / $5,477.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,414.00 / $3,780.00 / $6,536.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.20 / $98.20 / $14,685.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,098.00 / $12,078.00 / $21,694.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.50 / $195.00 / $315.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,738.00 / $10,000.00 / $10,460.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,098.00 / $12,078.00 / $14,668.00