go back

Arizona rates for HCPCS 0101T

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,890.45 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $199.53 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,370.32 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $416.87 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $371.54 / $6,309.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $338.84 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $4,073.80 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $302.00 / $501.19