go back

Michigan rates for HCPCS 0101T

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $186.21 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $398.11 / $436.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $851.14 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $316.23 / $436.52
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $3,311.31 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $316.23 / $416.87