go back

New York rates for RC 0790

ExtraCorporeal Shock Wave Therapy (formerly Lithotripsy)-General Classification

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,891.00 / $19,891.00 / $20,079.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,425.00 / $10,719.00 / $17,986.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,161.00 / $19,161.00 / $32,542.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,174.00 / $6,759.00 / $12,673.00
Fidelis
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,106.29 / $5,023.59 / $8,554.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,316.00 / $5,809.00 / $19,161.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,411.00 / $5,824.33 / $7,153.00