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Missouri rates for RC 0790

ExtraCorporeal Shock Wave Therapy (formerly Lithotripsy)-General Classification

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,018.00 / $7,018.00 / $17,394.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,744.00 / $4,874.00 / $7,908.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,441.00 / $6,300.00 / $12,993.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,756.00 / $6,771.00 / $9,994.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,460.00 / $10,460.00 / $10,460.00