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Nebraska rates for HCPCS 0101T

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $8,511.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $165.96 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,365.16 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $416.87 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $489.78 / $512.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $309.03 / $6,456.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $489.78 / $831.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $512.86 / $616.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $4,677.35 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $478.63 / $758.58