go back

Virginia rates for RC 0790

Lithotripsy - General Classification

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,142.00 / $2,142.00 / $2,142.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,629.00 / $2,033.00 / $2,567.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.89 / $5,098.00 / $10,945.00