| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $4,914.62 | $7,516.48 | $10,643.40 | |
Oscar Health
| Facility | $9,375.29 | $13,335.11 | $19,741.43 | |
Wellcare
| Facility | $7,738.00 | $10,000.00 | $10,460.00 |
ExtraCorporeal Shock Wave Therapy (formerly Lithotripsy)-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $4,914.62 | $7,516.48 | $10,643.40 | |
Oscar Health
| Facility | $9,375.29 | $13,335.11 | $19,741.43 | |
Wellcare
| Facility | $7,738.00 | $10,000.00 | $10,460.00 |