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Texas rates for RC 0790

ExtraCorporeal Shock Wave Therapy (formerly Lithotripsy)-General Classification

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,370.32 / $5,495.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $16.98 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $3,467.37 / $11,748.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $14,125.38 / $14,125.38
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $7,244.36 / $8,511.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,630.27 / $11,748.98