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Tennessee rates for HCPCS 0101T

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,691.53 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $186.21 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,479.11 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $218.78 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $6,456.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $4,570.88 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $295.12 / $512.86