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Idaho rates for HCPCS 0101T

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $213.80 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $2,511.89 / $6,309.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $13.80 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $213.80 / $389.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $213.80 / $275.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $707.95 / $8,511.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $275.42 / $389.05
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $14.13 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $9,332.54 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $398.11 / $524.81