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South Dakota rates for HCPCS 0101T

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $177.83 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $398.11 / $489.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $316.23 / $467.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $457.09 / $1,348.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $436.52 / $660.69