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North Carolina rates for HCPCS 0101T

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $1,288.25 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $181.97 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $489.78 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,318.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $204.17 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $9,332.54 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $302.00 / $512.86
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $6,456.54
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25