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Rhode Island rates for HCPCS 0101T

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $173.78 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $3,162.28 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $302.00 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,128.61 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $346.74 / $562.34